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

Active since March 22, 2007
56 WHITEHALL AVE, SUITE A, MYSTIC, CT 06355(860) 536-0773(860) 536-1068 Get Directions Write a Review

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

About J. Andrew Hallberg, Md, Llc NPPES

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

J. ANDREW HALLBERG, MD, LLC (NPI 1487770228) is a healthcare organization registered as a specialist in Mystic, Connecticut and active in the NPI registry since March 2007. The organization lists John A Hallberg, Owner, as its authorized official.

NPPES Registry Identity

NPI1487770228
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameJ. ANDREW HALLBERG, MD, LLC
Location Address56 WHITEHALL AVE, SUITE AMystic, CT 06355-1967
Mailing Address56 Whitehall Ave, Suite AMystic, CT 06355-1967 · (860) 536-0773 · Fax (860) 536-1068
Phone(860) 536-0773
Fax(860) 536-1068
Organization SubpartNo
Authorized OfficialJohn A HallbergOwner · (860) 536-0773
Enumeration DateMarch 22, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1487770228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CT · 029044
Definition
An 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.
56 WHITEHALL AVE, Mystic, CT 06355
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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

Other Providers at the Same Location NPPES 3

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

MR. EDMUND A P WEST MD
Internal Medicine
56 WHITEHALL AVE, RT 27
MYSTIC, CT 06355
Southeastern Connecticut Planning Region (860) 572-8282
ANNETTE L HEADLEY MD LLC
Dermatology
56 WHITEHALL AVE
MYSTIC, CT 06355
Southeastern Connecticut Planning Region (860) 536-1354
SEAPORT CLINIC LLC
Internal Medicine
56 WHITEHALL AVE, RT 27
MYSTIC, CT 06355
Southeastern Connecticut Planning Region (860) 572-8282

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 J. Andrew Hallberg, MD, LLC's NPI number?

The NPI number for J. Andrew Hallberg, MD, LLC is 1487770228. It was assigned to this organization in the NPPES registry on March 22, 2007.

Where is J. Andrew Hallberg, MD, LLC located?

J. Andrew Hallberg, MD, LLC is located at 56 Whitehall Ave Suite A, Mystic, CT 06355. The listed phone number is (860) 536-0773.

What is J. Andrew Hallberg, MD, LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for J. Andrew Hallberg, MD, LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.