CONNECTICUT ORTHOPAEDICS
NPI 1700207198
Orthopaedic Surgery in Essex, CT

NPI Status: Active since January 02, 2014

Contact Information

12 BOKUM RD
ESSEX, CT
ZIP 06426
Phone: (860) 767-9053
Fax: (860) 767-1146

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  • Organization
  • Orthopaedic Surgery
  • CLIA Number: 07D2246142
  • CLIA Cert. Type: School/Student Health Service
  • CLIA Exp. Date: 12-20-2025

About CONNECTICUT ORTHOPAEDICS

This page provides the complete NPI Profile along with additional information for Connecticut Orthopaedics, a provider established in Essex, Connecticut operating as a Orthopaedic Surgery. The healthcare provider is registered in the NPI registry with number 1700207198 assigned on January 2014. The practitioner's primary taxonomy code is 207X00000X. The provider is registered as an organization and their NPI record was last updated one year ago. Connecticut Orthopaedics operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's other name is Connecticut Orthopaedics. The authorized official of this NPI record is Susan Bader (Ceo)

NPI
1700207198
Provider Legal Name
CONNECTICUT ORTHOPAEDIC SPECIALISTS, PC
Other Organization Name
CONNECTICUT ORTHOPAEDICS
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
12 BOKUM RD ESSEX, CT 06426
Location Phone
(860) 767-9053
Location Fax
(860) 767-1146
Mailing Address
2408 WHITNEY AVE HAMDEN, CT 06518
Mailing Phone
(203) 626-0160
Mailing Fax
(860) 767-1146
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
01-02-2014
Last Update Date
12-03-2024
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Location Map

Secondary Locations

  • 12 Bokum Rd
    Essex, CT 06426
    (203) 433-4800

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

Orthopaedic Surgery

Taxonomy Code
207X00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

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)
1207XS0106XAllopathic & Osteopathic Physicians

Orthopaedic Surgery
Hand Surgery

 
2207XX0005XAllopathic & Osteopathic Physicians

Orthopaedic Surgery
Sports Medicine

 
3213E00000XPodiatric Medicine & Surgery Service Providers

Podiatrist

 
4213ES0103XPodiatric Medicine & Surgery Service Providers

Podiatrist
Foot & Ankle Surgery

 
5213ES0131XPodiatric Medicine & Surgery Service Providers

Podiatrist
Foot Surgery

 
6225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Physical Therapist

 
7225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Occupational Therapist

 
8261QM1200XAmbulatory Health Care Facilities

Clinic/Center
Magnetic Resonance Imaging (MRI)

 
9332B00000XSuppliers

Durable Medical Equipment & Medical Supplies

 
10363A00000XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant

 
11363AM0700XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant
Medical

 
12363AS0400XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant
Surgical

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SUSAN BADER

Authorized Official Title
CEO
Authorized Official Phone
(203) 407-3577

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
07D2246142
Facility Type
School/Student Health Service
Certificate Effective Date
December 21, 2023
Certificate Expiration Date
December 20, 2025
Laboratory Director
PAMELA POTEMRI EDD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Connecticut Orthopaedics 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.

Reviews for CONNECTICUT ORTHOPAEDICS

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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.
1700207198
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27004014118
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 0 + 0 + 4 + 0 + 1 + 4 + 1 + 1 + 8 + 24 = 52
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 52 = 88

The NPI number 1700207198 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 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1861425597SHORELINE ORTHOPEDICS & SPORTS MEDICINE, LLC
Organization
Orthopaedic Surgery12 BOKUM RD
ESSEX, CT 06426
(860) 767-9053
1437169687SHORELINE ORTHOPEDIC REHABILITATION
Organization
Clinic/Center (Physical Therapy)12 BOKUM RD
ESSEX, CT 06426
(860) 767-9035
1982718466 BONNIE BRENNEMAN PT
Individual
Physical Therapist12 BOKUM RD
ESSEX, CT 06426
(860) 767-9035
1851408280 ERIC PARNES PT
Individual
Physical Therapist12 BOKUM RD
ESSEX, CT 06426
(860) 767-9035
1295057222 MICHELE ANN MOY DPT
Individual
Physical Therapist12 BOKUM RD
ESSEX, CT 06426
(860) 767-9035
1184910572MS. KRISTIN LEE MOYNIHAN D.P.T.
Individual
Physical Therapist12 BOKUM RD
ESSEX, CT 06426
(860) 767-9053
1225317118 PATRICIA SPARACO PT
Individual
Physical Therapist12 BOKUM RD
ESSEX, CT 06426
(860) 767-9053
1063524742MR. KEIKHOSROW KAI ABOULIAN PT
Individual
Physical Therapist12 BOKUM RD
ESSEX, CT 06426
(860) 767-9035
1295779031MR. CRAIG WILLIAM KATKO PT, ATC
Individual
Physical Therapist12 BOKUM RD
ESSEX, CT 06426
(860) 767-9053
1710264221 MARY LOU JONES P.T.
Individual
Physical Therapist12 BOKUM RD
ESSEX, CT 06426
(860) 767-9053
1790899243 JAMES M JABLONKA PT
Individual
Physical Therapist12 BOKUM RD
ESSEX, CT 06426
(860) 767-9035
1154379261 STEVEN MITCHELL LUSTER M.D.
Individual
Orthopaedic Surgery12 BOKUM RD
ESSEX, CT 06426
(860) 767-9053
1699723742 MARTIN JEFFREY WHITE M.D.
Individual
Orthopaedic Surgery12 BOKUM RD
ESSEX, CT 06426
(860) 767-9053
1790459352 ALEX GAUTHIER DPT
Individual
Physical Therapist12 BOKUM RD
ESSEX, CT 06426
(860) 767-9035
1033360300 BRYAN THOMAS DANNA PA-C
Individual
Physician Assistant (Surgical)12 BOKUM RD
ESSEX, CT 06426
(860) 767-9053
1336107176 MARK DAVID LORENZE M.D.
Individual
Orthopaedic Surgery12 BOKUM RD
ESSEX, CT 06426
(860) 767-9053
1629089024DR. JONATHAN JACKSON KEY D.P.M.,F.A.C.F.A.S.
Individual
Podiatrist (Foot & Ankle Surgery)12 BOKUM RD
ESSEX, CT 06426
(203) 936-6677
1962846931 ANDREW ZHANG MD
Individual
Orthopaedic Surgery12 BOKUM RD
ESSEX, CT 06426
(860) 767-9053
1538659818 STEPHEN PAUL MAIER II MD
Individual
Orthopaedic Surgery12 BOKUM RD
ESSEX, CT 06426
(860) 767-9053
1366683641 CYNTHIA L DVORSKY MPT
Individual
Physical Therapist12 BOKUM RD
ESSEX, CT 06426
(860) 767-9053

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1700207198, enumerated in the NPI registry as an "organization" on January 02, 2014

The provider is located at 12 Bokum Rd Essex, Ct 06426 and the phone number is (860) 767-9053

This medical organization specializes in Orthopaedic Surgery with taxonomy code 207X00000X

The provider's CLIA number is 07D2246142 for a "school/student health service" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued 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..

This NPI record was last updated on January 02, 2014. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.