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HARTFORD HOSPITAL
NPI 1306413844
Durable Medical Equipment & Medical Supplies - Customized Equipment in Hartford, CT

Active since June 04, 2021CLIA Certified · 2 labs
79 RETREAT AVENUE, HARTFORD HOSPITAL DEPT OF DENTISTRY, HARTFORD, CT 06106(860) 972-2700 Get Directions Write a Review

NPPES record last updated: June 4, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Hartford Hospital NPPES

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

HARTFORD HOSPITAL (NPI 1306413844) is a healthcare organization registered as a customized equipment in Hartford, Connecticut and active in the NPI registry since June 2021. The organization holds 2 active CLIA laboratory certificates and lists Gerald Boisvert, Senior Vp, Finance Operations, as its authorized official.

NPPES Registry Identity

NPI1306413844
Entity TypeOrganization
Primary Taxonomy332BC3200X
Legal Business NameHARTFORD HOSPITAL
Location Address79 RETREAT AVENUE, HARTFORD HOSPITAL DEPT OF DENTISTRYHartford, CT 06106
Mailing Address79 Retreat Avenue, Hartford Hospital Dept Of DentistryHartford, CT 06106 · (860) 972-2700
Phone(860) 972-2700
Organization SubpartNo
Authorized OfficialGerald BoisvertSenior Vp, Finance Operations · (860) 545-0585
Enumeration DateJune 4, 2021
NPPES CertifiedJune 4, 2021
✔ NPI 1306413844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDurable Medical Equipment & Medical Supplies · Customized EquipmentSuppliers
Taxonomy Code332BC3200X
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
79 RETREAT AVENUE, Hartford, CT 06106
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CLIA Laboratory Certificates CMS CLIA 2

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 Accreditation 07D0904107

Hartford Hospital Point Of Care Testing · Hartford, CT
Active · expires Mar 20, 2028
CLIA Number07D0904107
Laboratory TypeHospital
Certificate Effective DateMarch 21, 2026
Certificate Expiration DateMarch 20, 2028
Laboratory DirectorVandita Johari
Laboratory Phone(860) 972-2249
Laboratory LocationHartford Hospital Point Of Care Testing80 Seymour Street PO Box 5037, Hartford, CT 06106
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Waiver 07D2027707

Hartford Hospital Institute Of Living · Hartford, CT
Active · expires Jul 28, 2027
CLIA Number07D2027707
Laboratory TypePhysician Office
Certificate Effective DateJuly 29, 2025
Certificate Expiration DateJuly 28, 2027
Laboratory DirectorAndrew Winokur Phd
Laboratory Phone(860) 545-7476
Laboratory LocationHartford Hospital Institute Of LivingButler Building 2nd Fl 200 Retreat Ave, Hartford, CT 06106
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

SUSAN ELIZABETH D'AMBROSIO PSY.D.
Psychologist (Clinical)
79 RETREAT AVENUE, HARTFORD HOSPITAL PSYCHIATRY DEPT
HARTFORD, CT 06106
Capitol Planning Region (860) 972-0200
DR. GAURAV MANEK MBBS
Student in an Organized Health Care Education/Training Program
79 RETREAT AVENUE, HARTFORD HOSPITAL ADULT PRIMARY CARE-BROWN STONE
HARTFORD, CT 06106
Capitol Planning Region (860) 972-0200
MR. MARK RILEY JONKER M.D.
Internal Medicine
79 RETREAT AVENUE, HARTFORD HOSPITAL, ADULT PRIMARY CARE- BROWN STONE
HARTFORD, CT 06106
Capitol Planning Region (860) 972-0200
ALEXANDER JORGE BANDIN MD
Urology
79 RETREAT AVENUE, HARTFORD HOSPITAL UROLOGY SERVICES
HARTFORD, CT 06106
Capitol Planning Region (860) 972-2791

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 Hartford Hospital's NPI number?

The NPI number for Hartford Hospital is 1306413844. It was assigned to this organization in the NPPES registry on June 4, 2021.

Where is Hartford Hospital located?

Hartford Hospital is located at 79 Retreat Avenue Hartford Hospital Dept Of Dentistry, Hartford, CT 06106. The listed phone number is (860) 972-2700.

What is Hartford Hospital's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies, specializing in Customized Equipment, with taxonomy code 332BC3200X.

Does Hartford Hospital hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Hartford Hospital was last updated on June 4, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.