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DAVID J DOMENICHINI MD, PC
NPI 1205018470
Internal Medicine - Endocrinology, Diabetes & Metabolism in Bloomfield, CT

Active since November 29, 2007CLIA 07D1050923 · Waiver
701 COTTAGE GROVE RD STE B220, BLOOMFIELD, CT 06002(860) 561-1007(860) 561-1222 Get Directions Write a Review

NPPES record last updated: May 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 30, 2025, Jul 31, 2024, Oct 31, 2022 and 1 more (4 updates tracked since 2016).

About David J Domenichini Md, Pc NPPES

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

DAVID J DOMENICHINI MD, PC (NPI 1205018470) is a healthcare organization registered as an endocrinology, diabetes & metabolism in Bloomfield, Connecticut and active in the NPI registry since November 2007. The organization holds a CLIA Waiver certificate valid through February 14, 2028 and lists David J Domenichini, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1205018470
Entity TypeOrganization
Primary Taxonomy207RE0101X
Legal Business NameDAVID J DOMENICHINI MD, PC
Location Address701 COTTAGE GROVE RD STE B220Bloomfield, CT 06002-3077
Mailing Address701 Cottage Grove Rd Ste B220Bloomfield, CT 06002-3077 · (860) 561-1007 · Fax (860) 561-1222
Phone(860) 561-1007
Fax(860) 561-1222
Organization SubpartNo
Authorized OfficialDavid J DomenichiniOwner/physician · (860) 561-1007
Enumeration DateNovember 29, 2007
Last NPPES UpdateMay 30, 20254 updates tracked since enumeration
NPPES CertifiedMay 30, 2025
✔ NPI 1205018470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in CT · 032306
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Also ListedInternal MedicineTaxonomy 207R00000X · License 032306 (CT)
Also ListedNurse PractitionerTaxonomy 363L00000X · License 032306 (CT)
701 COTTAGE GROVE RD STE B220, Bloomfield, CT 06002
Open in Google Maps ↗

Other Identifiers 5

OtherC03887CT · Medicare Group
Other50DOMENICCT01CT · Anthem Blue Cross/ Blue Shield Group
Other500000218CT · Medicaid Group
Other500000332CT · Medicaid Aprn Group
OtherDH2482CT · Medicare Railroad Group

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 07D1050923

David J Domenichini, MD · Bloomfield, CT
Active · expires Feb 14, 2028
CLIA Number07D1050923
Laboratory TypePhysician Office
Certificate Effective DateFebruary 15, 2026
Certificate Expiration DateFebruary 14, 2028
Laboratory DirectorDavid J. Domenichini
Laboratory Phone(860) 561-1007
Laboratory LocationDavid J Domenichini, MD701 Cottage Grove Rd Suite B220, Bloomfield, CT 06002
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.

DR. DAVID JOHN DOMENICHINI M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
701 COTTAGE GROVE RD STE B220
BLOOMFIELD, CT 06002
Capitol Planning Region (860) 561-1007

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 David J Domenichini MD, PC's NPI number?

The NPI number for David J Domenichini MD, PC is 1205018470. It was assigned to this organization in the NPPES registry on November 29, 2007.

Where is David J Domenichini MD, PC located?

David J Domenichini MD, PC is located at 701 Cottage Grove Rd Ste B220, Bloomfield, CT 06002. The listed phone number is (860) 561-1007.

What is David J Domenichini MD, PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Does David J Domenichini MD, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 07D1050923) is associated with this NPI, valid through February 14, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for David J Domenichini MD, PC was last updated on May 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.