JUSTIN ELLENBERG
NPI 1659907103
Student in an Organized Health Care Education/Training Program in Farmington, CT
NPI Status: Active since March 17, 2020
Contact Information
263 FARMINGTON AVE # LG065
FARMINGTON, CT
ZIP 06030
Phone: (860) 679-4988
Fax: (860) 679-3489
- Individual
- Male
- Student in an Organized Health Care Educ...
About JUSTIN ELLENBERG
This page provides the complete NPI Profile along with additional information for Justin Ellenberg, a primary care provider established in Farmington, Connecticut with a medical specialization in Student In An Organized Health Care Education/training Program. The healthcare provider is registered in the NPI registry with number 1659907103 assigned on March 2020. The practitioner's primary taxonomy code is 390200000X. The provider is registered as an individual and his NPI record was last updated 4 years ago.
- NPI
- 1659907103
- Provider Name
- JUSTIN ELLENBERG
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 263 FARMINGTON AVE # LG065 FARMINGTON, CT 06030
- Location Phone
- (860) 679-4988
- Location Fax
- (860) 679-3489
- Mailing Address
- 263 FARMINGTON AVE FARMINGTON, CT 06030
- Mailing Phone
- (860) 679-2147
- Mailing Fax
- (860) 679-3489
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-17-2020
- Last Update Date
- 03-26-2021
- Code Navigator
A primary care provider (PCP) like Justin Ellenberg sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Secondary Locations
- 263 Farmington Ave
Farmington, CT 06032
(860) 559-6606
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
Student in an Organized Health Care Education/Training Program
- Taxonomy Code
- 390200000X
- Type
- Student, Health Care
- License State
- CT
- Taxonomy Description
- An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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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. | |||||||||
| 1 | 6 | 5 | 9 | 9 | 0 | 7 | 1 | 0 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 10 | 9 | 18 | 0 | 14 | 1 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 1 + 0 + 9 + 1 + 8 + 0 + 1 + 4 + 1 + 0 + 24 = 57 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 57 = 3 | 3 | ||||||||
The NPI number 1659907103 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1366029167 | DR. JENNIFER MALDONADO DO Individual | Student in an Organized Health Care Education/Training Program | 263 FARMINGTON AVE # LG065 FARMINGTON, CT 06030 (860) 679-4988 |
| 1881271534 | THUY NGUYEN MD Individual | Student in an Organized Health Care Education/Training Program | 263 FARMINGTON AVE # LG065 FARMINGTON, CT 06030 (860) 679-4988 |
| 1982282018 | JOSELYN MILLER Individual | Student in an Organized Health Care Education/Training Program | 263 FARMINGTON AVE # LG065 FARMINGTON, CT 06030 (860) 679-4988 |
| 1811579899 | NAJMA HOMIDI MD Individual | Student in an Organized Health Care Education/Training Program | 263 FARMINGTON AVE # LG065 FARMINGTON, CT 06030 (860) 679-4988 |
| 1134869621 | DR. KYLE ALEXANDER CHIN MD Individual | Student in an Organized Health Care Education/Training Program | 263 FARMINGTON AVE # LG065 FARMINGTON, CT 06030 (860) 679-4988 |
| 1205576857 | KATHERINE A SEIBEL DO Individual | Student in an Organized Health Care Education/Training Program | 263 FARMINGTON AVE # LG065 FARMINGTON, CT 06030 (860) 679-4988 |
| 1265172175 | SABRINA BAWA MD Individual | Student in an Organized Health Care Education/Training Program | 263 FARMINGTON AVE # LG065 FARMINGTON, CT 06030 (860) 679-4988 |
| 1306415914 | LOIS MIN JEE KWON Individual | Student in an Organized Health Care Education/Training Program | 263 FARMINGTON AVE # LG065 FARMINGTON, CT 06030 (860) 679-4988 |
| 1417697319 | LINDSAY MELLO Individual | Student in an Organized Health Care Education/Training Program | 263 FARMINGTON AVE # LG065 FARMINGTON, CT 06030 (860) 679-4988 |
| 1760122527 | MADISON BOMPARD DO Individual | Student in an Organized Health Care Education/Training Program | 263 FARMINGTON AVE # LG065 FARMINGTON, CT 06030 (860) 679-4988 |
| 1891435731 | WILLIAM KARALIS DO Individual | Student in an Organized Health Care Education/Training Program | 263 FARMINGTON AVE # LG065 FARMINGTON, CT 06030 (860) 679-4988 |
| 1073255493 | DR. NATALIE FORDJOUR MD Individual | Student in an Organized Health Care Education/Training Program | 263 FARMINGTON AVE # LG065 FARMINGTON, CT 06030 (860) 679-4988 |
| 1477294593 | DANIEL KATZ Individual | Student in an Organized Health Care Education/Training Program | 263 FARMINGTON AVE # LG065 FARMINGTON, CT 06030 (860) 679-4988 |
| 1740920099 | CAROLINE ILLUZZI DO Individual | Student in an Organized Health Care Education/Training Program | 263 FARMINGTON AVE # LG065 FARMINGTON, CT 06030 (860) 679-4988 |
| 1770198814 | JOHANNA LEE Individual | Student in an Organized Health Care Education/Training Program | 263 FARMINGTON AVE # LG065 FARMINGTON, CT 06030 (860) 679-4988 |
| 1922749415 | DR. THOMAS ANTHONY LATOSEK MD Individual | Student in an Organized Health Care Education/Training Program | 263 FARMINGTON AVE # LG065 FARMINGTON, CT 06030 (860) 679-4988 |
| 1003502287 | DR. PATRICK CONAL FLANNERY DO Individual | Student in an Organized Health Care Education/Training Program | 263 FARMINGTON AVE # LG065 FARMINGTON, CT 06030 (860) 679-4988 |
| 1285320523 | DR. ALLISON NICOLE BRADFORD DO Individual | Student in an Organized Health Care Education/Training Program | 263 FARMINGTON AVE # LG065 FARMINGTON, CT 06030 (860) 679-4988 |
| 1356037485 | LINDSEY MICHELLE DECKER DO Individual | Student in an Organized Health Care Education/Training Program | 263 FARMINGTON AVE # LG065 FARMINGTON, CT 06030 (860) 679-4988 |
| 1427744267 | RYAN JOHN RACZKOWSKI MD Individual | Student in an Organized Health Care Education/Training Program | 263 FARMINGTON AVE # LG065 FARMINGTON, CT 06030 (860) 679-4988 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1659907103, enumerated in the NPI registry as an "individual" on March 17, 2020
The provider is located at 263 Farmington Ave # Lg065 Farmington, Ct 06030 and the phone number is (860) 679-4988
The provider's speciality is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X
This NPI record was last updated on March 17, 2020. 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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