CHRISTOPHER J DELGROSS PA NPI 1225029663

NPI Information

NPI: 1225029663
Provider Name: CHRISTOPHER J DELGROSS, PA
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
114 WOODLAND STREET
DEPARTMENT OF MEDICINE
HARTFORD, CT
ZIP 06105
Phone: (860) 714-4097
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Christopher J Delgross, PA is a medical physician assistant in Hartford, CT with 32 years of experience. Christopher J Delgross, PA NPI is 1225029663. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: HAHNEMANN UNIVERSITY COLLEGE OF MEDICINE
Graduation Year:1992

The provider's business location address is:

114 WOODLAND STREET
DEPARTMENT OF MEDICINE
HARTFORD, CT
ZIP 06105
Phone: (860) 714-4097
Fax: (860) 714-8001

The NPI 1225029663 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/3/2005 and was last updated on 11/23/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363A00000X	Physician Assistant		009666	NEW YORK	No
2	363A00000X	Physician Assistant		146	CONNECTICUT	No
3	363AM0700X	Physician Assistant	Medical	146	CONNECTICUT	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	S91279	MEDICARE UPIN
2	02566136	MEDICAID	NEW YORK
3	P00125222	OTHER	NEW YORK	RR MEDICARE
4	PA0171	MEDICARE ID-TYPE UNSPECIFIED	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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