NORTHEAST MEDICAL GROUP
NPI 1396134664
General Acute Care Hospital in New Haven, CT
NPI Status: Active since January 09, 2015
Contact Information
20 YORK ST
NEW HAVEN, CT
ZIP 06510
Phone: (203) 688-4242
- Organization
- General Acute Care Hospital
- CLIA Number: 07D0873173
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 07-07-2027
About NORTHEAST MEDICAL GROUP
This page provides the complete NPI Profile along with additional information for Northeast Medical Group, a provider established in New Haven, Connecticut operating as a General Acute Care Hospital. The healthcare provider is registered in the NPI registry with number 1396134664 assigned on January 2015. The practitioner's primary taxonomy code is 282N00000X with license number 50684 (CT). The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Cecilia Waldron (Credentialing Coordinator)
- NPI
- 1396134664
- Provider Name
- NORTHEAST MEDICAL GROUP
- Entity Type
- Organization
- Location Address
- 20 YORK ST NEW HAVEN, CT 06510
- Location Phone
- (203) 688-4242
- Mailing Address
- 226 MILL HILL AVE STE 3 BRIDGEPORT, CT 06610
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-09-2015
- Last Update Date
- 01-09-2015
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
General Acute Care Hospital
- Taxonomy Code
- 282N00000X
- Type
- Hospitals
- License No.
- 50684
- License State
- CT
- Taxonomy Description
- An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 07D0873173
- Facility Type
- Physician Office
- Certificate Effective Date
- July 08, 2025
- Certificate Expiration Date
- July 07, 2027
- Laboratory Director
- PRATHIBHA VARKEY MBBS MPH MHPE
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Northeast Medical Group in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1396134664, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 66 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
NEW HAVEN, CT 06510
NEW HAVEN, CT 06510
NEW HAVEN, CT 06510
NEW HAVEN, CT 06510
NEW HAVEN, CT 06510
NEW HAVEN, CT 06510
NEW HAVEN, CT 06510
NEW HAVEN, CT 06510
NEW HAVEN, CT 06510
NEW HAVEN, CT 06510
NEW HAVEN, CT 06510
NEW HAVEN, CT 06510
NEW HAVEN, CT 06510
NEW HAVEN, CT 06510
NEW HAVEN, CT 06510
NEW HAVEN, CT 06510
NEW HAVEN, CT 06510
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1396134664, enumerated as an "organization" on January 09, 2015.
The provider is located at 20 YORK ST NEW HAVEN, CT 06510 and the phone number is (203) 688-4242.
General Acute Care Hospital with taxonomy code 282N00000X.
