Organization Active NPI

Hilda's Weight-Loss and Diabetes Clinic LLC

  • Public Health or Welfare Agency
  • Bloomfield, CT
National Provider Identifier
1629820980
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
HILDA'S WEIGHT-LOSS AND DIABETES CLINIC LLC
Doing business as
HILDA's Weight-Loss and Diabetes Clinic LLC
Practice address
76 E Dudley Town Rd
Bloomfield, CT 06002-1410
Phone
(610) 468-0914
NPI assigned
Apr 2, 2024
Last updated
Apr 2, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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

Authorized official

Name
Hilda Boateng, PA-CNPI 1578087375
Title
Physician Assistant
Phone
(610) 468-0914

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X NU Primary

Addresses

Primary practice location

76 E Dudley Town Rd
Bloomfield, CT 06002-1410

Mailing address

76 E Dudley Town Rd
Bloomfield, CT 06002-1410
Phone (610) 468-0914

Other names 1

  • HILDA's Weight-Loss and Diabetes Clinic LLC Doing business as

National Provider Directory

National Provider Directory

Locations

76 E Dudley Town Rd
Bloomfield, CT 06002
Phone (610) 468-0914

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1712016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712016000000",
    "number": "1629820980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 E DUDLEY TOWN RD",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060021410",
            "telephone_number": "610-468-0914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 E DUDLEY TOWN RD",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060021410",
            "telephone_number": "610-468-0914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILDA'S WEIGHT-LOSS AND DIABETES CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-02",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A",
        "authorized_official_last_name": "BOATENG",
        "authorized_official_first_name": "HILDA",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT",
        "authorized_official_telephone_number": "610-468-0914",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HILDA's Weight-Loss and Diabetes Clinic LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bloomfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; 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.