NPIMap

Organization Active NPI

State of Connecticut Health Center

  • Pediatric Hematology & Oncology Physician
  • Farmington, CT
National Provider Identifier
1669656575
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Hematology & Oncology PhysicianTaxonomy code 2080P0207X
Legal business name
STATE OF CONNECTICUT HEALTH CENTER
Practice address
263 Farmington Ave
Pediatric Hematology/Oncoloty
Farmington, CT 06030-0001
Phone
(860) 679-2100
Fax
(860) 679-4815
NPI assigned
Dec 27, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
STATE OF CONNECTICUT HEALTH CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Denis C Lafreniere, MD
Title
Medical Director
Phone
(860) 679-7503

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Hematology & Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2080P0207X CT Primary

Addresses

Primary practice location

263 Farmington Ave
Pediatric Hematology/Oncoloty
Farmington, CT 06030-0001

Mailing address

263 Farmington Ave
Provider Enrollment - Provider Enrollment
Farmington, CT 06030-2212
Phone (860) 679-7503

Other names 1

  • Pediatric Hematology/Oncology Other name

National Provider Directory

National Provider Directory
Tax ID family
School of Medicine28 organizations share this tax ID, including this one
Part of
School of Medicine

Other organizations with this tax ID 27

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

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1198713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1669656575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 FARMINGTON AVE",
            "address_2": "PROVIDER ENROLLMENT - PROVIDER ENROLLMENT",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060302212",
            "telephone_number": "860-679-7503",
            "fax_number": "860-679-1610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 FARMINGTON AVE",
            "address_2": "PEDIATRIC HEMATOLOGY/ONCOLOTY",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060300001",
            "telephone_number": "860-679-2100",
            "fax_number": "860-679-4815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF CONNECTICUT HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STATE OF CONNECTICUT HEALTH CENTER",
        "enumeration_date": "2007-12-27",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "LAFRENIERE",
        "authorized_official_first_name": "DENIS",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "860-679-7503",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080P0207X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "CT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric Hematology/Oncology",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Farmington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.