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CONNECTICUT CHILDREN'S MEDICAL CENTER
NPI 1477257160
Pediatrics - Pediatric Hematology-Oncology in Hartford, CT

Active since March 28, 2023CLIA Certified · 2 labs
282 WASHINGTON ST, HARTFORD, CT 06106(860) 837-5553 Get Directions Write a Review

NPPES record last updated: March 28, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Connecticut Children's Medical Center NPPES

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

CONNECTICUT CHILDREN'S MEDICAL CENTER (NPI 1477257160), doing business as Connecticut Children's Medical Center Htc, is a healthcare organization registered as a pediatric hematology-oncology in Hartford, Connecticut and active in the NPI registry since March 2023. The organization holds 2 active CLIA laboratory certificates, maintains 2 additional practice locations, and lists Jennifer Stevens, Assistant General Counsel, as its authorized official.

NPPES Registry Identity

NPI1477257160
Entity TypeOrganization
Primary Taxonomy2080P0207X
Legal Business NameCONNECTICUT CHILDREN'S MEDICAL CENTER
Location Address282 WASHINGTON STHartford, CT 06106-3322
Mailing Address282 Washington StHartford, CT 06106-3322 · (860) 837-5553
Phone(860) 837-5553
Organization SubpartYes
Authorized OfficialJennifer StevensAssistant General Counsel · (860) 837-5553
Enumeration DateMarch 28, 2023
NPPES CertifiedMarch 17, 2023
✔ NPI 1477257160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0207X
Definition
A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
282 WASHINGTON ST, Hartford, CT 06106
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Other Names 1

Doing Business AsConnecticut Children's Medical Center Htc

Secondary Practice Locations 2

Location 12 Ivy Brook RdShelton, CT 06484-6416 · Phone (860) 545-9630
Location 2505 Farmington AveFarmington, CT 06032-1901 · Phone (860) 545-9630

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 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 Waiver 07D2173765

Connecticut Children's - Endocrinology · Farmington, CT
Active · expires Oct 17, 2027
CLIA Number07D2173765
Laboratory TypePhysician Office
Certificate Effective DateOctober 18, 2025
Certificate Expiration DateOctober 17, 2027
Laboratory DirectorGregory Makowski
Laboratory Phone(860) 545-8124
Laboratory LocationConnecticut Children's - Endocrinology505 Farmington Ave, Room 206, Point Of Care - A, Farmington, CT 06032
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 07D1072154

Connecticut Children's Specialty Group · Farmington, CT
Active · expires Oct 31, 2026
CLIA Number07D1072154
Laboratory TypePhysician Office
Certificate Effective DateNovember 1, 2024
Certificate Expiration DateOctober 31, 2026
Laboratory DirectorGregory Makowski
Laboratory Phone(860) 837-5360
Laboratory LocationConnecticut Children's Specialty Group505 Farmington Avenue, 1st Floor, Farmington, CT 06032
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

DR. IRFAN AHMED WARSY MBBS
Pediatrics (Pediatric Cardiology)
282 WASHINGTON ST
HARTFORD, CT 06106
Capitol Planning Region (860) 545-9147
RYAN CIARLO MD
Pediatrics
282 WASHINGTON ST
HARTFORD, CT 06106
Capitol Planning Region (860) 837-5560
EUNICE HA-YOUNG KIM
Student in an Organized Health Care Education/Training Program
282 WASHINGTON ST
HARTFORD, CT 06106
Capitol Planning Region (860) 545-8340
JAMES HAGADORN MD
Pediatrics (Neonatal-Perinatal Medicine)
282 WASHINGTON ST
HARTFORD, CT 06106
Capitol Planning Region (860) 545-8950
CRAIG SCHRAMM MD
Pediatrics (Pediatric Pulmonology)
282 WASHINGTON ST
HARTFORD, CT 06106
Capitol Planning Region (860) 545-9440
NICOLE LYNN BOONE PA
Physician Assistant (Surgical)
282 WASHINGTON ST
HARTFORD, CT 06106
Capitol Planning Region (860) 545-9000
SRAVYA GOURISHETTI
Student in an Organized Health Care Education/Training Program
282 WASHINGTON ST
HARTFORD, CT 06106
Capitol Planning Region (860) 545-9000
HAYA NOOR QUTOB DO
Student in an Organized Health Care Education/Training Program
282 WASHINGTON ST
HARTFORD, CT 06106
Capitol Planning Region (860) 545-9000

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 Connecticut Children's Medical Center's NPI number?

The NPI number for Connecticut Children's Medical Center is 1477257160. It was assigned to this organization in the NPPES registry on March 28, 2023. The provider is doing business as Connecticut Children's Medical Center HTC.

Where is Connecticut Children's Medical Center located?

Connecticut Children's Medical Center is located at 282 Washington St, Hartford, CT 06106. The listed phone number is (860) 837-5553.

What is Connecticut Children's Medical Center's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

Does Connecticut Children's Medical Center 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 Connecticut Children's Medical Center was last updated on March 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.