NPIMap

Organization Active NPI

East Hartford Family Practice LLP

  • Family Medicine Physician
  • East Hartford, CT
National Provider Identifier
1659552768
Registry record updated Nov 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
005874 Issued in CT
Legal business name
EAST HARTFORD FAMILY PRACTICE LLP
Doing business as
East Hartford Family Practice LLP
Practice address
110 Main St
1St FL
East Hartford, CT 06118-3208
Phone
(860) 569-4430
Fax
(860) 569-4431
NPI assigned
Nov 16, 2007
Last updated
Nov 16, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2007

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

Authorized official

Name
Dr. Joseph Michael Danyliw, M.D.
Title
Owner
Phone
(860) 569-4430

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 005874 CT Primary

Addresses

Primary practice location

110 Main St
1St FL
East Hartford, CT 06118-3208

Mailing address

110 Main St
1St FL
East Hartford, CT 06118-3208
Phone (860) 569-4430

Other identifiers 1

IdentifierTypeStateIssuer
1058742MedicaidCT

Other names 1

  • East Hartford Family Practice LLP Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1195171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195171200000",
    "number": "1659552768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 MAIN ST",
            "address_2": "1ST FL",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061183208",
            "telephone_number": "860-569-4430",
            "fax_number": "860-569-4431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 MAIN ST",
            "address_2": "1ST FL",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061183208",
            "telephone_number": "860-569-4430",
            "fax_number": "860-569-4431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST HARTFORD FAMILY PRACTICE LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-16",
        "last_updated": "2007-11-16",
        "status": "A",
        "authorized_official_last_name": "DANYLIW",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-569-4430",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "005874",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1058742",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Hartford Family Practice LLP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in East Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2007; 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.