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Orthopedic Associates of Hartford,PC

Organization Active NPI Durable Medical Equipment & Medical Supplies · Rocky Hill, CT

NPI 1992880892 · NPPES record last updated Mar 16, 2023

Key facts

NPI
1992880892
Entity type
Organization (NPI type 2)
Primary specialty
Durable Medical Equipment & Medical Supplies 332B00000X
Legal business name
ORTHOPEDIC ASSOCIATES OF HARTFORD,PC
Practice address
150 Enterprise Dr Ste 301
Rocky Hill, CT 06067-3579
Phone
(860) 549-3210
Fax
(860) 247-3803
NPI assigned
Oct 26, 2006
Organization subpart
No

Authorized official

Name
David J Mudano
Title
Chief Financial Officer
Phone
(860) 549-8279

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 22

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

Practitioners 95

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

View all 95

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
07D2190457Orthopedic Associates of Hartford, PC
150 Enterprise Dr, Lower Level, Rocky Hill, CT 06067		Certificate of waiverAug 12, 2026

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CT

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20100930099182 CT DME Supplier - Physician - Orthopedic/Orthopedic Surgery 1850382409 Practice locations: Rocky Hill, CT

National Provider Directory

Tax ID family
Orthopedic Associates (23 organizations share this tax ID)

Locations

74 Batterson Park Rd
Ste 107
Farmington, CT 06032

150 Enterprise Dr
Ste 301
Rocky Hill, CT 06067

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Yes

Addresses

Primary practice location

150 Enterprise Dr Ste 301
Rocky Hill, CT 06067-3579

Mailing address

74 Batterson Park Rd Ste 107
Farmington, CT 06032-2565
Phone (860) 549-8276

Other providers in Rocky Hill, CT

All providers in Rocky Hill, CT · Durable Medical Equipment & Medical Supplies in Connecticut

Sources for this page

Verify at the official NPI Registry.