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OBGYN GROUP OF EASTERN CONNECTICUT, P.C.
NPI 1376756908
Obstetrics & Gynecology in South Windsor, CT

Active since May 08, 2007CLIA Certified · 2 labs
2600 TAMARACK AVENUE, SUITE 200, SOUTH WINDSOR, CT 06074(860) 646-1157(860) 646-9877 Get Directions Write a Review

NPPES record last updated: January 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Obgyn Group Of Eastern Connecticut, P.c. NPPES

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

OBGYN GROUP OF EASTERN CONNECTICUT, P.C. (NPI 1376756908) is a healthcare organization registered as an obstetrics & gynecology in South Windsor, Connecticut and active in the NPI registry since May 2007. The organization holds 2 active CLIA laboratory certificates and lists Kelly Riccitelli, Administrator, as its authorized official.

NPPES Registry Identity

NPI1376756908
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameOBGYN GROUP OF EASTERN CONNECTICUT, P.C.
Location Address2600 TAMARACK AVENUE, SUITE 200South Windsor, CT 06074-5560
Mailing Address2600 Tamarack Avenue, Suite 200South Windsor, CT 06074-5560 · (860) 646-1157 · Fax (860) 646-9877
Phone(860) 646-1157
Fax(860) 646-9877
Organization SubpartNo
Authorized OfficialKelly RiccitelliAdministrator · (860) 646-1157
Enumeration DateMay 8, 2007
Last NPPES UpdateJanuary 22, 2020
✔ NPI 1376756908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
2600 TAMARACK AVENUE, South Windsor, CT 06074
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Other Identifiers 1

Medicaid004394251CT

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

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 Compliance 07D0677759

Obgyn Group Of Eastern Ct PC · South Windsor, CT
Active · expires Oct 5, 2027
CLIA Number07D0677759
Laboratory TypeIndependent
Certificate Effective DateOctober 6, 2025
Certificate Expiration DateOctober 5, 2027
Laboratory DirectorKaterina Michaels- Bogdan
Laboratory Phone(860) 646-1157
Laboratory LocationObgyn Group Of Eastern Ct PC2600 Tamarack Ave Ste 200, South Windsor, CT 06074
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 07D2006798

Obgyn Group Of Eastern Connecticut, PC · Glastonbury, CT
Active · expires Apr 28, 2028
CLIA Number07D2006798
Laboratory TypePhysician Office
Certificate Effective DateApril 29, 2026
Certificate Expiration DateApril 28, 2028
Laboratory DirectorKaterina Michaels-Bogdan
Laboratory Phone(860) 646-1157
Laboratory LocationObgyn Group Of Eastern Connecticut, PC622 Hebron Ave Ste 104 A, Glastonbury, CT 06033
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Obgyn Group Of Eastern Connecticut, P.C.'s NPI number?

The NPI number for Obgyn Group Of Eastern Connecticut, P.C. is 1376756908. It was assigned to this organization in the NPPES registry on May 8, 2007.

Where is Obgyn Group Of Eastern Connecticut, P.C. located?

Obgyn Group Of Eastern Connecticut, P.C. is located at 2600 Tamarack Avenue Suite 200, South Windsor, CT 06074. The listed phone number is (860) 646-1157.

What is Obgyn Group Of Eastern Connecticut, P.C.'s specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Does Obgyn Group Of Eastern Connecticut, P.C. 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 Obgyn Group Of Eastern Connecticut, P.C. was last updated on January 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.