Individual provider Active NPI

Shivani Sinha, MD

  • Dermatology Physician
  • Bloomfield, CT
National Provider Identifier
1700521119
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
83901 Issued in CT
Practice address
47 Jolley Dr
Bloomfield, CT 06002-3092
Phone
(860) 243-3020
Fax
(860) 243-3002
NPI assigned
Apr 29, 2022
Last updated
Aug 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 83901 CT Primary

Addresses

Primary practice location

47 Jolley Dr
Bloomfield, CT 06002-3092

Mailing address

47 Jolley Dr
Bloomfield, CT 06002-3092
Phone (860) 243-3020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260604000438 CT Practitioner - Dermatology 9638653116

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
F H Netter, M.D. School of Med at Quinnipiac Univ, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

250 Arch Rd
Avon, CT 06001-4210

47 Jolley Dr
Bloomfield, CT 06002-4226

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Health of New England Provider Network Organization Inc CurrentSince May 1, 2022 Accepting new patients
Trinity Health of New England Provider Network Organization Inc PastSince May 1, 2022 Accepting new patients

Locations

263 Farmington Ave
Farmington, CT 06030
Phone (860) 679-4477

1000 Asylum Ave
Rm 1004
Hartford, CT 06105
Phone (860) 714-4532

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1651190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786492800000",
    "number": "1700521119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 JOLLEY DR",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060023092",
            "telephone_number": "860-243-3020",
            "fax_number": "860-243-3002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 JOLLEY DR",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060023092",
            "telephone_number": "860-243-3020",
            "fax_number": "860-243-3002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINHA",
        "first_name": "SHIVANI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-29",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CT",
            "license": "83901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield, CT

Sources for this page

Verify at the official NPI Registry.