Individual provider Active NPI

Maria Ieni, MD

  • Pediatrics Physician
  • New Canaan, CT
National Provider Identifier
1265491245
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
55760 Issued in CT
Practice address
173 East Ave
New Canaan, CT 06840-5614
Phone
(203) 972-4250
Fax
(203) 801-2126
NPI assigned
Mar 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Emergency Medicine (Pediatrics) Physician 2080P0204X 224210 NY
Pediatrics Physician 208000000X 55760 CT Primary

Addresses

Primary practice location

173 East Ave
New Canaan, CT 06840-5614

Mailing address

173 East Ave
New Canaan, CT 06840-5614
Phone (203) 972-4250

Other identifiers 1

IdentifierTypeStateIssuer
02313055MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
55760CTMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Connecticut Pediatric Partnership LLC Pediatrics Past Accepting new patients
Trustees of Columbia University in the City of New York Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mieni@cpp.pcc-direct.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1265491245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "173 EAST AVE",
            "city": "NEW CANAAN",
            "state": "CT",
            "postal_code": "068405614",
            "telephone_number": "203-972-4250",
            "fax_number": "203-801-2126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "173 EAST AVE",
            "city": "NEW CANAAN",
            "state": "CT",
            "postal_code": "068405614",
            "telephone_number": "203-972-4250",
            "fax_number": "203-801-2126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IENI",
        "first_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-20",
        "last_updated": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0204X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Emergency Medicine",
            "state": "NY",
            "license": "224210",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CT",
            "license": "55760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02313055",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Canaan, CT

Sources for this page

Verify at the official NPI Registry.