Provider Type Icon

PEDIATRIC CARDIOLOGY ASSOCIATES LLC NPI 1114970175


NPI Information

NPI: 1114970175
Provider Name: PEDIATRIC CARDIOLOGY ASSOCIATES, LLC
Classification: Pediatrics - 2080P0202X
Entity Type: Organization

Specialization: Pediatric Cardiology

CLIA Number: 07D2169357

Address:
282 WASHINGTON ST
SUITE 2B
HARTFORD, CT
ZIP 06106
Phone: (860) 545-9400
Get Directions

PEDIATRIC CARDIOLOGY ASSOCIATES, LLC is a pediatric cardiology pediatrics in Hartford, CT. The provider is a pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. PEDIATRIC CARDIOLOGY ASSOCIATES, LLC NPI is 1114970175. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

282 WASHINGTON ST
SUITE 2B
HARTFORD, CT
ZIP 06106-322
Phone: (860) 545-9400
Fax: (860) 545-9414

The provider's authorized official is Catherine J Rieder .
The authorized official title is Assistant Office Manager and has the following contact phone number (860) 545-9216.

The CLIA number assigned to this NPI record is 07D2169357 - other - pediatric youth & family with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/18/2006 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080P0202XPediatricsPediatric CardiologyYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.