J. ANDREW HALLBERG, MD, LLC NPI 1487770228
Specialist in Mystic, CT

About J. ANDREW HALLBERG, MD, LLC

J. Andrew Hallberg, Md, Llc is a provider established in Mystic, Connecticut operating as a Specialist. The NPI number of this provider is 1487770228 and was assigned on March 2007. The practitioner's primary taxonomy code is 174400000X with license number 029044 (CT). The provider is registered as an organization and their NPI record was last updated 3 years ago. J. Andrew Hallberg, Md, Llc operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. John A Hallberg M.d. (Owner)

NPI
1487770228
Provider NameJ. ANDREW HALLBERG, MD, LLC
Location Address56 WHITEHALL AVE SUITE A MYSTIC, CT 06355
Location Phone(860) 536-0773
Mailing Address56 WHITEHALL AVE SUITE A MYSTIC, CT 06355
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date03-22-2007
Last Update Date08-22-2020


Primary Taxonomy

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Taxonomy Code174400000X
ClassificationSpecialist
TypeOther Service Providers
License No.029044
License StateCT
Taxonomy DescriptionAn individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Business Address

56 WHITEHALL AVE
SUITE A
MYSTIC, CT
ZIP 06355
Phone: (860) 536-0773
Fax: (860) 536-1068

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Mailing Address

56 WHITEHALL AVE
SUITE A
MYSTIC, CT
ZIP 06355
Phone: (860) 536-0773
Fax: (860) 536-1068


Location Map

Authorized Official

The name of the person authorized to submit the NPI application or to officially change data for a health care provider.

Authorized Official NameDR. JOHN A HALLBERG M.D.
Authorized Official TitleOWNER
Authorized Official Phone(860) 536-0773

Group Taxonomy


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

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1487770228
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
24167147024
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 6 + 7 + 1 + 4 + 7 + 0 + 2 + 4 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1487770228 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1881610970MS. ANNE MARIA TIMMERMAN MD
Individual
Internal Medicine56 WHITEHALL AVE RT 27
MYSTIC, CT 06355
(860) 572-8282
1568772242ANNETTE L HEADLEY MD LLC
Organization
Dermatology56 WHITEHALL AVE
MYSTIC, CT 06355
(860) 536-1354
1154347250MR. EDMUND A P WEST MD
Individual
Internal Medicine56 WHITEHALL AVE RT 27
MYSTIC, CT 06355
(860) 572-8282
1881780773SEAPORT CLINIC LLC
Organization
Internal Medicine56 WHITEHALL AVE RT 27
MYSTIC, CT 06355
(860) 572-8282

Frequently Asked Questions

What is J. ANDREW HALLBERG, MD, LLC NPI number?

The NPI number assigned to this healthcare provider is 1487770228, registered as an "organization" on March 22, 2007

Where is the provider located?

The provider is located at 56 Whitehall Ave Suite A Mystic, Ct 06355 and the phone number is (860) 536-0773

What is the provider specialty code?

This medical organization specializes in Specialist with taxonomy code 174400000X

How do I update my NPI information?

The NPI record of J. ANDREW HALLBERG, MD, LLC was last updated on March 22, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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