NPIMap

Organization Active NPI

Internal Medicine & Pediatrics LLC

  • Pediatrics Physician
  • Derby, CT
National Provider Identifier
1013122993
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
023888 Issued in CT
Legal business name
INTERNAL MEDICINE & PEDIATRICS LLC
Practice address
111 New Haven Ave
Derby, CT 06418-2197
Phone
(203) 736-9214
Fax
(203) 736-9172
NPI assigned
May 13, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Robert Nelson Hyde III, MDNPI 1902011885
Title
Member
Phone
(203) 736-9214

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 023888 CT
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X 023888 CT Primary

Addresses

Primary practice location

111 New Haven Ave
Derby, CT 06418-2197

Mailing address

111 New Haven Ave
Derby, CT 06418-2197
Phone (203) 736-9214

National Provider Directory

National Provider Directory

Locations

111 New Haven Ave
Derby, CT 06418
Phone (203) 735-8336

111 New Haven Ave
Ste 3
Derby, CT 06418
Phone (203) 736-9214

111 New Haven Ave
Ste 7
Derby, CT 06418

131 Bridge St
Naugatuck, CT 06770
Phone (203) 729-0755

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 20

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1013122993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 NEW HAVEN AVE",
            "city": "DERBY",
            "state": "CT",
            "postal_code": "064182197",
            "telephone_number": "203-736-9214",
            "fax_number": "203-736-9172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 NEW HAVEN AVE",
            "city": "DERBY",
            "state": "CT",
            "postal_code": "064182197",
            "telephone_number": "203-736-9214",
            "fax_number": "203-736-9172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE & PEDIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-13",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "HYDE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "NELSON",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "203-736-9214",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "023888",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "CT",
            "license": "023888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Derby, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.