Active NPI
Maria Christina Herrera, MD
- Adolescent Medicine (Internal Medicine) Physician
- Trumbull, CT
National Provider Identifier
1114374063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adolescent Medicine (Internal Medicine) Physician
- License
- 79541
- Practice address
- 5520 Park Ave
Trumbull, CT 06611-3463 - Phone
- (845) 494-2259
- NPI assigned
- May 20, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 79541 | CT | |
| Adolescent Medicine (Internal Medicine) Physician | 207RA0000X | 79541 | CT | Primary |
Addresses
Primary practice location
5520 Park Ave
Trumbull, CT 06611-3463
Mailing address
100 Church St S Ste A222
New Haven, CT 06519-1703
Phone (845) 494-2259
Other practice location 1
150 Sargent Dr
New Haven, CT 06511-6100
Phone (845) 494-2259
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 79541 | CT | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Childrens Health Care Associates, Inc | Pediatrics | Current | Accepting new patients |
| Childen's Health Care Associates Inc. | Current | Accepting new patients | |
| Fair Haven Community Health Clinic Inc | Past | Accepting new patients |
Locations
3401 Civic Center Blvd
Philadelphia, PA 19104
Phone (215) 590-4040
3401 Civic Center Blvd
#M975
Philadelphia, PA 19104
Interoperability endpoints
- mherrera699532@direct.ynhh.org
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- Philadelphia, PA
- NPI 1598869059
-
dba CHCA Nurse Practitioners
- Pediatric Registered Nurse
- Philadelphia, PA
- NPI 1699860643
-
- Federally Qualified Health Center (FQHC)
- New Haven, CT
- NPI 1104803444
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733788800000",
"number": "1114374063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 CHURCH ST S STE A222",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065191703",
"telephone_number": "845-494-2259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5520 PARK AVE",
"city": "TRUMBULL",
"state": "CT",
"postal_code": "066113463",
"telephone_number": "845-494-2259"
}
],
"practiceLocations": [
{
"address_1": "150 Sargent Dr",
"address_purpose": "LOCATION",
"city": "New Haven",
"state": "CT",
"postal_code": "065116100",
"country_code": "US",
"telephone_number": "845-494-2259",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HERRERA",
"first_name": "MARIA",
"middle_name": "CHRISTINA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-20",
"last_updated": "2024-12-10",
"certification_date": "2024-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CT",
"license": "79541",
"primary": false
},
{
"code": "207RA0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Adolescent Medicine",
"state": "CT",
"license": "79541",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Trumbull, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.