EAST HARTFORD PEDIATRIC, LLC.
NPI 1700898764
Community Health Worker in East Hartford, CT
NPI Status: Active since August 11, 2006
Contact Information
893 MAIN ST
SUITE 303
EAST HARTFORD, CT
ZIP 06108
Phone: (860) 289-3047
Fax: (860) 528-4735
- Organization
- Community Health Worker
- CLIA Number: 07D2150150
- CLIA Cert. Type: Other - MEDICAL ADULT DAYCARE
- CLIA Exp. Date: 06-18-2026
About EAST HARTFORD PEDIATRIC, LLC.
This page provides the complete NPI Profile along with additional information for East Hartford Pediatric, Llc., a provider established in East Hartford, Connecticut operating as a Community Health Worker. The healthcare provider is registered in the NPI registry with number 1700898764 assigned on August 2006. The practitioner's primary taxonomy code is 172V00000X with license number 034733 (CT). The provider is registered as an organization and their NPI record was last updated 12 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Jayashree Venkatesh M.d. (Physician)
- NPI
- 1700898764
- Provider Name
- EAST HARTFORD PEDIATRIC, LLC.
- Entity Type
- Organization
- Location Address
- 893 MAIN ST SUITE 303 EAST HARTFORD, CT 06108
- Location Phone
- (860) 289-3047
- Location Fax
- (860) 528-4735
- Mailing Address
- 21 PAUL SPRING RD FARMINGTON, CT 06032
- Mailing Phone
- (860) 676-1135
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-11-2006
- Last Update Date
- 12-02-2014
- 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
Community Health Worker
- Taxonomy Code
- 172V00000X
- Type
- Other Service Providers
- License No.
- 034733
- License State
- CT
- Taxonomy Description
- Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, promotores(as), outreach educators, community health representatives, peer health promoters, and peer health educators. CHWs offer interpretation and translation services, provide culturally appropriate health education and information, assist people in receiving the care they need, give informal counseling and guidance on health behaviors, advocate for individual and community health needs, and provide some direct services such as first aid and blood pressure screening. Some examples of these practitioners are Community Health Aides or Practitioners established under 25 USC 1616 (l) under HHS, Indian Health Service, Public Health Service.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 363LP0200X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | 002155 (CT) |
Group Taxonomy 193400000X MULTIPLE 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 008035516 | MEDICAID (05) | CT | |
| 001347336 | MEDICAID (05) | CT |
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
- 07D2150150
- Facility Type
- Other - MEDICAL ADULT DAYCARE
- Certificate Effective Date
- June 19, 2024
- Certificate Expiration Date
- June 18, 2026
- Laboratory Director
- ALLA SHLOSMAN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to East Hartford Pediatric, Llc. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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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 1700898764, 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 10 providers are registered at the same or a nearby location.
EAST HARTFORD, CT 06108
EAST HARTFORD, CT 06108
EAST HARTFORD, CT 06108
EAST HARTFORD, CT 06108
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1700898764, enumerated as an "organization" on August 11, 2006.
The provider is located at 893 MAIN ST SUITE 303 EAST HARTFORD, CT 06108 and the phone number is (860) 289-3047.
Community Health Worker with taxonomy code 172V00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
