NPIMap

Organization Active NPI

Evelyn V Casas MD

Doing business as Kids Choice Pediatrics

  • Pediatrics Physician
  • Stamford, CT
National Provider Identifier
1144417627
Registry record updated Aug 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
EVELYN V CASAS MD
Doing business as
Kids Choice Pediatrics
Practice address
144 Morgan St
#8
Stamford, CT 06905-5433
Phone
(203) 353-1123
Fax
(203) 353-1132
NPI assigned
Sep 28, 2007
Last updated
Aug 26, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2015

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

Authorized official

Name
Dr. Evelyn V. Mellijor-Casas, M.D.
Title
Owner
Phone
(203) 353-1123

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU
Pediatrics Physician 208000000X NU Primary

Addresses

Primary practice location

144 Morgan St
#8
Stamford, CT 06905-5433

Mailing address

144 Morgan St
#8
Stamford, CT 06905-5433
Phone (203) 353-1123

Other identifiers 1

IdentifierTypeStateIssuer
001348871MedicaidCT

Other names 1

  • Kids Choice Pediatrics Doing business as

National Provider Directory

National Provider Directory

Locations

144 Morgan St
Ste 8
Stamford, CT 06905
Phone (203) 353-1123

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1190937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440547200000",
    "number": "1144417627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 MORGAN ST",
            "address_2": "#8",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069055433",
            "telephone_number": "203-353-1123",
            "fax_number": "203-353-1132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 MORGAN ST",
            "address_2": "#8",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069055433",
            "telephone_number": "203-353-1123",
            "fax_number": "203-353-1132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVELYN V CASAS MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-28",
        "last_updated": "2015-08-26",
        "status": "A",
        "authorized_official_last_name": "MELLIJOR-CASAS",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_middle_name": "V.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-353-1123",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001348871",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kids Choice Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stamford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2015; 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.