Organization Active NPI

Pediatric Health Associates PC.

  • Pediatrics Physician
  • Hartford, CT
National Provider Identifier
1689074148
Registry record updated Sep 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
045608 Issued in CT
Legal business name
PEDIATRIC HEALTH ASSOCIATES PC.
Practice address
576 Farmington Ave
Hartford, CT 06105-3015
Phone
(347) 556-7956
NPI assigned
Sep 2, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2014

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

Authorized official

Name
Sachin Dhingra, MDNPI 1407041007
Title
President & Ceo
Phone
(347) 556-7956

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
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 045608 CT Primary

Addresses

Primary practice location

576 Farmington Ave
Hartford, CT 06105-3015

Mailing address

48 Maplehurst CT
Cheshire, CT 06410-1576
Phone (347) 556-7956

Other identifiers 1

IdentifierTypeStateIssuer
1407041007OtherNPPES

National Provider Directory

National Provider Directory

Locations

597 Farmington Ave
Hartford, CT 06105
Phone (860) 481-3565

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1409616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409788800000",
    "number": "1689074148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 MAPLEHURST CT",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064101576",
            "telephone_number": "347-556-7956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "576 FARMINGTON AVE",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061053015",
            "telephone_number": "347-556-7956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC HEALTH ASSOCIATES PC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-02",
        "last_updated": "2014-09-04",
        "status": "A",
        "authorized_official_last_name": "DHINGRA",
        "authorized_official_first_name": "SACHIN",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "347-556-7956",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "CT",
            "license": "045608",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1407041007",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2014; 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.