| NPI | 1205018470 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2007-11-29 |
| Last Updated | 2025-05-30 |
| Authorized Official | David Domenichini Owner/Physician Phone: 8605611007 |
| Mailing Address | 701 Cottage Grove Rd Ste B220 Bloomfield, CT 06002-3077 United States Phone: (860) 561-1007 | Fax: (860) 561-1222 📍 View Map |
| Primary Practice Address | 701 Cottage Grove Rd Ste B220 Bloomfield, CT 06002-3077 United States Phone: (860) 561-1007 | Fax: (860) 561-1222 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| Other (non-Medicare) | CT | 500000218 | Medicaid Group |
| Other (non-Medicare) | CT | 500000332 | Medicaid APRN Group |
| Other (non-Medicare) | CT | 50DOMENICCT01 | Anthem Blue Cross/ Blue Shield Group |
| Other (non-Medicare) | CT | C03887 | Medicare Group |
| Other (non-Medicare) | CT | DH2482 | MEDICARE RAILROAD GROUP |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 207R00000X – Internal Medicine | CT | 032306 |
| No | 363L00000X – Nurse Practitioner | CT | 032306 |
| Yes | 207RE0101X – Internal Medicine, Endocrinology, Diabetes & Metabolism | CT | 032306 |
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About NPI 1205018470
David J Domenichini Md, Pc is an organization registered in the CMS NPPES NPI Registry with NPI number 1205018470. The primary specialty listed is Internal Medicine, Endocrinology, Diabetes & Metabolism. The organization is located in Bloomfield, CT. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2007-11-29. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1205018470?
NPI 1205018470 belongs to David J Domenichini Md, Pc, a Internal Medicine, Endocrinology, Diabetes & Metabolism in Bloomfield, CT. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1205018470 active?
The current status of NPI 1205018470 in the NPPES registry is Active. The record was last updated on 2025-05-30.
What specialty is NPI 1205018470?
NPI 1205018470 is classified under the taxonomy Internal Medicine, Endocrinology, Diabetes & Metabolism. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1205018470?
You can verify NPI 1205018470 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1205018470?
The primary practice address on file for NPI 1205018470 is 701 Cottage Grove Rd Ste B220, Bloomfield, CT 06002-3077. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1205018470 issued?
NPI 1205018470 was first issued (enumerated) on 2007-11-29. The NPPES record was last updated on 2025-05-30.
Practice Location Map
David J Domenichini Md, Pc is located at 701 Cottage Grove Rd Ste B220, Bloomfield, CT. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as David J Domenichini Md, Pc. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1205018470. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Internal Medicine | 032306 | CT |
| Nurse Practitioner | 032306 | CT |
| Internal Medicine, Endocrinology, Diabetes & Metabolism | 032306 | CT |