Organization Active NPI

New England Pediatrics, LLP

  • Pediatrics Physician
  • New Canaan, CT
National Provider Identifier
1205844115
Registry record updated Aug 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
NEW ENGLAND PEDIATRICS, LLP
Practice address
183 Cherry St
New Canaan, CT 06840-4820
Phone
(203) 472-5232
Fax
(203) 972-5234
NPI assigned
Aug 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2008

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

Authorized official

Name
Dr. Rosemary Ellen Klenk, MDNPI 1780692665
Title
Partner
Phone
(203) 972-5232

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

183 Cherry St
New Canaan, CT 06840-4820

Mailing address

183 Cherry St
New Canaan, CT 06840-4820
Phone (203) 972-5232

Other identifiers 1

IdentifierTypeStateIssuer
004052767MedicaidCT

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
07D0886541New England Pediatrics LLP183 Cherry St, New Canaan, CT 06840Certificate of waiverJan 1, 2028

National Provider Directory

National Provider Directory

Locations

183 Cherry St
New Canaan, CT 06840
Phone (203) 472-5232

166 W Broad St
Ste 103
Stamford, CT 06902
Phone (203) 323-1770

Practitioners & affiliated clinicians

Practitioners 8

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": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219968000000",
    "number": "1205844115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "183 CHERRY ST",
            "city": "NEW CANAAN",
            "state": "CT",
            "postal_code": "068404820",
            "telephone_number": "203-972-5232",
            "fax_number": "203-972-5234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "183 CHERRY ST",
            "city": "NEW CANAAN",
            "state": "CT",
            "postal_code": "068404820",
            "telephone_number": "203-472-5232",
            "fax_number": "203-972-5234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW ENGLAND PEDIATRICS, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2008-08-29",
        "status": "A",
        "authorized_official_last_name": "KLENK",
        "authorized_official_first_name": "ROSEMARY",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "203-972-5232",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004052767",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Canaan, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.