Organization Active NPI

Northern Connecticut Endocrinology and Wellness Center PC

  • Specialist
  • Enfield, CT
National Provider Identifier
1659655686
Registry record updated Oct 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
045170 Issued in CT
Legal business name
NORTHERN CONNECTICUT ENDOCRINOLOGY AND WELLNESS CENTER PC
Practice address
140 Hazard Ave Ste 102
Enfield, CT 06082-4520
Phone
(860) 272-2970
Fax
(860) 272-2971
NPI assigned
Oct 10, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2011

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

Authorized official

Name
Dr. Jessica Perini, M.D
Title
Owner
Phone
(412) 401-0488

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 045170 CT Primary

Addresses

Primary practice location

140 Hazard Ave Ste 102
Enfield, CT 06082-4520

Mailing address

140 Hazard Ave Ste 102
Enfield, CT 06082-4520
Phone (860) 272-2970

National Provider Directory

National Provider Directory

Locations

140 Hazard Ave
Ste 102
Enfield, CT 06082
Phone (860) 272-2970

NPI Registry JSON

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

{
    "created_epoch": "1318204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318204800000",
    "number": "1659655686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 HAZARD AVE STE 102",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060824520",
            "telephone_number": "860-272-2970",
            "fax_number": "860-272-2971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 HAZARD AVE STE 102",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060824520",
            "telephone_number": "860-272-2970",
            "fax_number": "860-272-2971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN CONNECTICUT ENDOCRINOLOGY AND WELLNESS CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-10",
        "last_updated": "2011-10-10",
        "status": "A",
        "authorized_official_last_name": "PERINI",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "412-401-0488",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CT",
            "license": "045170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Enfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2011; 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.