MARSHALL P GRODOFSKY MD NPI 1841271699

NPI Information

NPI: 1841271699
Provider Name: MARSHALL P GRODOFSKY, MD
Classification: Allergy & Immunology - 207KA0200X
Entity Type: Individual

Specialization: Allergy

PECOS Registration: Yes

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

Marshall P Grodofsky, MD is an allergy allergy immunology in West Hartford, CT. The provider is a physician who specializes in the diagnosis, treatment, and management of allergies. Source: National Uniform Claim Committee Marshall P Grodofsky, MD NPI is 1841271699. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

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 1841271699 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 8/25/2015.

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	207K00000X	Allergy & Immunology		027137	CONNECTICUT	No
2	207KI0005X	Allergy & Immunology	Clinical & Laboratory Immunology	027137	CONNECTICUT	No
3	2080P0201X	Pediatrics	Pediatric Allergy/Immunology	27137	CONNECTICUT	No
4	207KA0200X	Allergy & Immunology	Allergy	027137	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	216970	OTHER		PREFERRED ONE
2	030000091	MEDICARE ID-TYPE UNSPECIFIED
3	010027137CT01	OTHER		BLUE CROSS
4	020138	OTHER		CONNECTICARE
5	0585739002	OTHER		CIGNA
6	B84461	MEDICARE UPIN
7	00127137800	MEDICAID	CONNECTICUT
8	P1870457	OTHER		OXFORD
9	OS2228	MEDICAID	CONNECTICUT
10	001271378	MEDICAID	CONNECTICUT

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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