ALLERGY ASSOCIATES OF HARTFORD, PC
NPI 1003937988
Allergy & Immunology - Allergy in Glastonbury, CT

Active since April 02, 2007CLIA 07D2196869 · Waiver
622 HEBRON AVE STE 104B, GLASTONBURY, CT 06033(860) 659-8904(860) 246-5828 Get Directions Write a Review

NPPES record last updated: November 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 12, 2024, Oct 15, 2020 (2 updates tracked since 2020).

About Allergy Associates Of Hartford, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALLERGY ASSOCIATES OF HARTFORD, PC (NPI 1003937988) is a healthcare organization registered as an allergy in Glastonbury, Connecticut and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through October 19, 2026 and lists Prasad Srinivasan, President, as its authorized official.

NPPES Registry Identity

NPI1003937988
Entity TypeOrganization
Primary Taxonomy207KA0200X
Legal Business NameALLERGY ASSOCIATES OF HARTFORD, PC
Location Address622 HEBRON AVE STE 104BGlastonbury, CT 06033-5003
Mailing Address622 Hebron Ave Ste 104bGlastonbury, CT 06033-5003 · (860) 659-8904 · Fax (860) 246-5828
Fax(860) 246-5828
Organization SubpartNo
Authorized OfficialPrasad SrinivasanPresident · (860) 246-7273
Enumeration DateApril 2, 2007
Last NPPES UpdateNovember 12, 20242 updates tracked since enumeration
NPPES CertifiedNovember 12, 2024
NPI 1003937988 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyAllergy & Immunology · AllergyAllopathic & Osteopathic Physicians
Taxonomy Code207KA0200X
License Licensed in CT · 022206
Definition
A physician who specializes in the diagnosis, treatment, and management of allergies. Source: National Uniform Claim Committee
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 000644 (CT)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 003860 (CT)
622 HEBRON AVE STE 104B, Glastonbury, CT 06033

Other Identifiers 1

Medicaid004000410CT

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 07D2196869

Allergy Associates Of Hartford, PC · Glastonbury, CT
Active · expires Oct 19, 2026
CLIA Number07D2196869
Laboratory TypePhysician Office
Certificate Effective DateOctober 20, 2024
Certificate Expiration DateOctober 19, 2026
Laboratory DirectorBenoit Tano
Laboratory Phone(860) 659-8904
Laboratory LocationAllergy Associates Of Hartford, PC622 Hebron Ave, Suite 104B, Glastonbury, CT 06033
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Allergy & Immunology
622 HEBRON AVE STE 104B
GLASTONBURY, CT 06033

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Allergy Associates Of Hartford, PC's NPI number?

The NPI number for Allergy Associates Of Hartford, PC is 1003937988. It was assigned to this organization in the NPPES registry on April 2, 2007.

Where is Allergy Associates Of Hartford, PC located?

Allergy Associates Of Hartford, PC is located at 622 Hebron Ave Ste 104B, Glastonbury, CT 06033. The listed phone number is (860) 659-8904.

What is Allergy Associates Of Hartford, PC's specialty?

The primary specialty registered for this NPI is Allergy & Immunology, specializing in Allergy, with taxonomy code 207KA0200X.

Does Allergy Associates Of Hartford, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 07D2196869) is associated with this NPI, valid through October 19, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Allergy Associates Of Hartford, PC was last updated on November 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.