Connecticut Children's Specialty Group, Inc.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

CONNECTICUT CHILDREN'S SPECIALTY GROUP, INC.

Practice address

131 New London Tpke Ste 200
Glastonbury, CT 06033-2246

Phone

(860) 837-9628

NPI assigned

Feb 25, 2021

Last updated

Dec 5, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kelli Allen-Dunn

Title

Director, Medical Staff & Credentia

Phone

(860) 837-5561

Specialties & licenses 15

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Connecticut Children's Specialty Group, Inc.

  • Pediatrics Physician
  • Hartford, CT
  • NPI 1669448882

  6002720117

  Same PAC ID

Tax ID family

Connecticut Children's Specialty Group Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• CT Childrens Medical Center/Betances

  • Primary Care Clinic/Center
  • Hartford, CT
  • NPI 1093930539
  NPD tax ID
• CT Childrens Medical Center/Betances

  • Primary Care Clinic/Center
  • Hartford, CT
  • NPI 1942423488
  NPD tax ID

Locations

Practitioners 699

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.

• Darlene Florence Abbate, APRN

  • Pediatric Nurse Practitioner
  • Hartford, CT
  • NPI 1821283961

  Pediatrics

  NPD
• Jeffrey B Agli, APRN

  • Pediatric Nurse Practitioner
  • Hamden, CT
  • NPI 1437483559

  Pediatrics

  NPD
• Taylor Aglio, M.D.

  • Pediatric Hematology & Oncology Physician
  • Hartford, CT
  • NPI 1285015453

  Pediatrics

  NPD
• Neveen Al-Said, DO

  • Pediatrics Physician
  • Hartford, CT
  • NPI 1851978548
  NPD
• Alicia Albertson

  • Clinical Social Worker
  • Meriden, CT
  • NPI 1104254523
  NPD
• Catherine Alessi, MD

  • Neurology Physician
  • Farmington, CT
  • NPI 1477896900
  NPD
• Tracey Marie Allen, APRN

  • Family Nurse Practitioner
  • Hartford, CT
  • NPI 1982020350
  NPD
• Victoria Rose Altamira, PA-C

  • Physician Assistant
  • Hartford, CT
  • NPI 1366301384
  NPD
• Jason Michael Altman, D.O.

  • Anesthesiology Physician
  • Shelton, CT
  • NPI 1023351707
  NPD
• Caroline Amin

  • Pediatrics Physician
  • Hartford, CT
  • NPI 1205220852
  NPD
• Wei An, M.D.

  • Allergy & Immunology Physician
  • West Hartford, CT
  • NPI 1942576947
  NPD
• Benjamin James Anderson, MD

  • Child & Adolescent Psychiatry Physician
  • Hartford, CT
  • NPI 1497098404
  NPD

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

{
    "created_epoch": "1614211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701734400000",
    "number": "1568056984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 COLUMBUS BLVD FL 4",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061061976",
            "telephone_number": "186-083-7561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 NEW LONDON TPKE STE 200",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060332246",
            "telephone_number": "860-837-9628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTICUT CHILDREN'S SPECIALTY GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-25",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A",
        "authorized_official_last_name": "ALLEN-DUNN",
        "authorized_official_first_name": "KELLI",
        "authorized_official_title_or_position": "DIRECTOR, MEDICAL STAFF & CREDENTIA",
        "authorized_official_telephone_number": "860-837-5561"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0204X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0207X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0208X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Infectious Diseases",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0210X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Nephrology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0214X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Pulmonology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ophthalmology Physician in Glastonbury, CT
• Providers in Glastonbury, CT by specialty
• Ophthalmology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.