Organization Active NPI

Pediatrics Plus PC

  • Pediatric Nurse Practitioner
  • North Haven, CT
National Provider Identifier
1013287218
Registry record updated Jan 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
7148307-000 Issued in CT
Legal business name
PEDIATRICS PLUS PC
Practice address
13 Peck St
North Haven, CT 06473-2308
Phone
(203) 239-4627
Fax
(203) 234-8533
NPI assigned
Jan 4, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2012

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

Authorized official

Name
Dr. Elsa L. Stone, M.D.
Title
President
Phone
(203) 239-4627

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0200X 7148307-000 CT Primary

Addresses

Primary practice location

13 Peck St
North Haven, CT 06473-2308

Mailing address

13 Peck St
North Haven, CT 06473-2308
Phone (203) 239-4627

National Provider Directory

National Provider Directory
Tax ID family
Pediatrics Plus2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

13 Peck St
North Haven, CT 06473
Phone (203) 239-4627

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1325635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325635200000",
    "number": "1013287218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 PECK ST",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064732308",
            "telephone_number": "203-239-4627",
            "fax_number": "203-234-8533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 PECK ST",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064732308",
            "telephone_number": "203-239-4627",
            "fax_number": "203-234-8533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRICS PLUS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-04",
        "last_updated": "2012-01-04",
        "status": "A",
        "authorized_official_last_name": "STONE",
        "authorized_official_first_name": "ELSA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-239-4627",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CT",
            "license": "7148307-000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Haven, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2012; 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.