Active NPI
Mercy Pediatrics
- Pediatrics Physician
- Naugatuck, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- MERCY PEDIATRICS
- Practice address
- 577 N Church St
Naugatuck, CT 06770-2845 - Phone
- (347) 731-8420
- NPI assigned
- Oct 27, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Esther Blessed Agyemang, NP
- Title
- Owner
- Phone
- (203) 275-9874
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary | ||
| Family Nurse Practitioner | 363LF0000X | |||
| Pediatric Nurse Practitioner | 363LP0200X |
Addresses
Primary practice location
577 N Church St
Naugatuck, CT 06770-2845
Mailing address
577 N Church St
Naugatuck, CT 06770-2845
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 07D2275326 | Mercy Pediatrics LLC | Certificate of waiver | Jan 18, 2027 |
National Provider Directory
National Provider DirectoryLocations
577 N Church St
Naugatuck, CT 06770
Phone (203) 275-9874
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Family Nurse Practitioner
- Naugatuck, CT
- NPI 1932816162
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666828800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1724716800000",
"number": "1326765546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "577 N CHURCH ST",
"city": "NAUGATUCK",
"state": "CT",
"postal_code": "067702845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "577 N CHURCH ST",
"city": "NAUGATUCK",
"state": "CT",
"postal_code": "067702845",
"telephone_number": "347-731-8420"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MERCY PEDIATRICS",
"organizational_subpart": "NO",
"enumeration_date": "2022-10-27",
"last_updated": "2024-08-27",
"certification_date": "2024-08-27",
"status": "A",
"authorized_official_last_name": "AGYEMANG",
"authorized_official_first_name": "ESTHER",
"authorized_official_middle_name": "BLESSED",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "203-275-9874",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Pediatrics",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Naugatuck, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; 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.