JEFFREY M FACTOR MD NPI 1457332298

NPI Information

NPI: 1457332298
Provider Name: JEFFREY M FACTOR, MD
Classification: Pediatrics - 2080P0201X
Entity Type: Individual

Specialization: Pediatric Allergy/Immunology

PECOS Registration: Yes

Address:
836 FARMINGTON AVENUE
SUITE 207
WEST HARTFORD, CT
ZIP 06119
Phone: (860) 232-9911
Get Directions

Jeffrey M Factor, MD is a pediatric allergy/immunology pediatrics in West Hartford, CT with 39 years of experience. The provider is a pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children. Jeffrey M Factor, MD NPI is 1457332298. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Graduation Year:1985

The provider's business location address is:

836 FARMINGTON AVENUE
SUITE 207
WEST HARTFORD, CT
ZIP 06119
Phone: (860) 232-9911
Fax: (860) 233-5996

The NPI 1457332298 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 11/9/2005 and was last updated on 4/14/2022.

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	207K00000X	Allergy & Immunology		031434	CONNECTICUT	No
2	207KI0005X	Allergy & Immunology	Clinical & Laboratory Immunology	031434	CONNECTICUT	No
3	2080P0201X	Pediatrics	Pediatric Allergy/Immunology	31434	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	043518	OTHER		AETNA
2	131576	OTHER		PREFERRED ONE
3	001314343	MEDICAID	CONNECTICUT
4	010031434CT01	OTHER		BLUE CROSS
5	0139300005	OTHER		CIGNA
6	023998	OTHER		CONNECTICARE
7	OS2162	OTHER		HEALTHNET MEDICAID
8	00131434300	OTHER		BLUE CROSS MEDICAID
9	004394508	OTHER		MEDICAID GROUP CAAC
10	P2666155	OTHER		OXFORD

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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