NPIMap

Organization Active NPI

CT Childrens Medical Center/Betances

  • Primary Care Clinic/Center
  • Hartford, CT
National Provider Identifier
1942423488
Registry record updated Jul 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
00363 Issued in CT
Legal business name
CT CHILDRENS MEDICAL CENTER/BETANCES
Practice address
42 Charter Oak Ave
Hartford, CT 06106-1909
Phone
(860) 525-4640
Fax
(860) 525-4650
NPI assigned
Apr 11, 2007
Last updated
Jul 31, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2008

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

Authorized official

Name
Mrs. Ann Therese Gorjanc, PA-CNPI 1174596753
Title
Pediatric PA
Phone
(860) 525-4640

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 00363 CT Primary

Addresses

Primary practice location

42 Charter Oak Ave
Hartford, CT 06106-1909

Mailing address

42 Charter Oak Ave
Hartford, CT 06106-1909
Phone (860) 525-4640

National Provider Directory

National Provider Directory
Tax ID family
Connecticut Children's Specialty Group Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Practitioners & affiliated clinicians

Practitioners 1

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": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217462400000",
    "number": "1942423488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 CHARTER OAK AVE",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061061909",
            "telephone_number": "860-525-4640",
            "fax_number": "860-525-4650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 CHARTER OAK AVE",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061061909",
            "telephone_number": "860-525-4640",
            "fax_number": "860-525-4650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CT CHILDRENS MEDICAL CENTER/BETANCES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2008-07-31",
        "status": "A",
        "authorized_official_last_name": "GORJANC",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "THERESE",
        "authorized_official_title_or_position": "PEDIATRIC  PA",
        "authorized_official_telephone_number": "860-525-4640",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CT",
            "license": "00363",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 31, 2008; 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.