David J Domenichini MD, PC
David J Domenichini MD, PC is a healthcare organization registered as Endocrinology, Diabetes & Metabolism Physician in Bloomfield, CT, holding Type 2 (organization) NPI 1205018470 since 2007. The authorized official on file is David Domenichini, Owner/Physician.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1205018470 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | David J Domenichini MD, PC |
| Practice address | 701 COTTAGE GROVE RD STE B220, Bloomfield, CT, 06002 |
| Phone | 8605611007 |
| Fax | 8605611222 |
| Enumeration date | 2007-11-29 |
| Last updated in NPPES | 2025-05-30 |
Authorized official
| Name | David Domenichini |
|---|---|
| Title | Owner/Physician |
| Phone | 8605611007 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207R00000X | Internal Medicine Physician | Secondary | 032306 | CT |
| 363L00000X | Nurse Practitioner | Secondary | 032306 | CT |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | Primary | 032306 | CT |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C03887 | Other | CT | MEDICARE GROUP |
| 50DOMENICCT01 | Other | CT | ANTHEM BLUE CROSS/ BLUE SHIELD GROUP |
| 500000218 | Other | CT | MEDICAID GROUP |
| 500000332 | Other | CT | MEDICAID APRN GROUP |
| DH2482 | Other | CT | MEDICARE RAILROAD GROUP |
Copy-ready billing details
Provider: David J Domenichini MD, PC NPI: 1205018470 Taxonomy: 207RE0101X (Endocrinology, Diabetes & Metabolism Physician) Address: 701 COTTAGE GROVE RD STE B220, Bloomfield, CT, 06002
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1225004922 | David Domenichini | Individual | Endocrinology, Diabetes & Metabolism Physician | Bloomfield, CT |
Verify this record
Cross-check NPI 1205018470 against the authoritative CMS record: view David J Domenichini MD, PC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where is David J Domenichini MD, PC located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-05-30.