NPIMap

Organization Active NPI

Eastern Connecticut Medical Professionals Foundation, Inc

Doing business as Eastern Orthopeadics and Sports Medicine, PC

  • Specialist
  • South Windsor, CT
National Provider Identifier
1497864516
Registry record updated Dec 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
EASTERN CONNECTICUT MEDICAL PROFESSIONALS FOUNDATION, INC
Doing business as
Eastern Orthopeadics and Sports Medicine, PC
Practice address
2800 Tamarack Avenue
Suite 104
South Windsor, CT 06074
Phone
(860) 648-4480
Fax
(860) 648-2132
NPI assigned
Aug 30, 2006
Last updated
Dec 19, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Kenneth R Alleyne, MDNPI 1316991136
Title
Owner
Phone
(860) 648-4480

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

2800 Tamarack Avenue
Suite 104
South Windsor, CT 06074

Mailing address

2800 Tamarack Avenue
Suite 104
South Windsor, CT 06074
Phone (860) 648-4480

Other names 1

  • Eastern Orthopeadics and Sports Medicine, PC Doing business as

National Provider Directory

National Provider Directory

Locations

116 E Center St
#14
Manchester, CT 06040
Phone (860) 646-8457

178 Hartford Rd
#G20
Manchester, CT 06040
Phone (860) 533-2904

178 Hartford Rd
Ste 201
Manchester, CT 06040
Phone (860) 646-8010

57 Hartford Tpke
Ste A
Vernon, CT 06066
Phone (860) 645-1112

43 W Main St
Ste 11
Vernon Rockville, CT 06066
Phone (860) 870-2555

43 W Main St
Ste 1
Vernon Rockvl, CT 06066
Phone (860) 872-3818

Practitioners & affiliated clinicians

Practitioners 223

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 223

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355875200000",
    "number": "1497864516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 TAMARACK AVENUE",
            "address_2": "SUITE 104",
            "city": "SOUTH WINDSOR",
            "state": "CT",
            "postal_code": "06074",
            "telephone_number": "860-648-4480",
            "fax_number": "860-648-2132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 TAMARACK AVENUE",
            "address_2": "SUITE 104",
            "city": "SOUTH WINDSOR",
            "state": "CT",
            "postal_code": "06074",
            "telephone_number": "860-648-4480",
            "fax_number": "860-648-2132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN CONNECTICUT MEDICAL PROFESSIONALS FOUNDATION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2012-12-19",
        "status": "A",
        "authorized_official_last_name": "ALLEYNE",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-648-4480",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eastern Orthopeadics and Sports Medicine, PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in South Windsor, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.