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NPI · 1780059030 · NPPES-sourced

Mallory Fossa Pnp-PC

ActivePediatric Anesthesiology Physician
NPI Number
1780059030
Type 1 · Individual
Taxonomy Code
207LP3000X
Contact
(860) 837-5207
License CA · 95003548
Last Updated
Enumerated
Primary practice addressCT · 06106-3322
282 Washington StHartford, CT 06106-3322
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About this NPIWhat this record shows.

NPI 1780059030 is registered to Mallory Fossa Pnp-PC, a Pediatric Anesthesiology Physician practising at 282 Washington St in Hartford, Connecticut. Pediatric Anesthesiology Physician is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Mallory Fossa Pnp-PC has been enumerated in the National Provider Identifier (NPI) registry since 2015.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Medicare enrollment

This provider holds 2 Medicare enrollments on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Mallory Fossa Pnp-PC accepts. To confirm in-network status with your specific health plan, contact Mallory Fossa Pnp-PC directly at (860) 837-5207.

Frequently asked

Yes. NPI 1780059030 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Pediatric Anesthesiology Physician is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (860) 837-5207.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Mallory Fossa Pnp-PC is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy207LP3000X
Last updated
Enumerated
StatusActive
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2 records · same addressOther providers at this location.

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Same specialtyOther Pediatric Anesthesiology Physician providers in Connecticut.

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Adjacent in the NPPES enumeration sequenceNPIs enumerated around this one.

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