Judith Karen Adelstein, APRN
Individual provider Active NPI Pediatric Nurse Practitioner · Fairfield, CT
NPI 1013045277 · NPPES record last updated Feb 28, 2015
Key facts
- NPI
- 1013045277
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Nurse Practitioner 363LP0200X
- License
- 002754 (CT)
- Practice address
- 189 Veres St
Fairfield, CT 06824-6447 - Phone
- (203) 464-7493
- NPI assigned
- Mar 1, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002754 | CT | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Raphael Faculty Physicians | Past | Accepting new patients | |
| Saint Raphael Healthcare System Affiliated Physicians Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 002754 | CT | Yes |
Addresses
Primary practice location
189 Veres St
Fairfield, CT 06824-6447
Mailing address
267 Grant St
Bridgeport, CT 06610-2805
Phone (203) 384-3199
Other providers in Fairfield, CT
- Acu Poise
- Ada Therapy, LL
- Ada Therapy, LLC
- Adam Bard, MD LLC
- Michelle Adelman
- Advanced Medical Footcare, LLC
- Advanced Radiology Consultants
- Affiliates in Women'S Care LLC
- Afm Counseling PLLC
- Aram Yuri Agadjanian
All providers in Fairfield, CT · Pediatric Nurse Practitioner in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 28, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.