East Haven Pediatrics P.C.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

EAST HAVEN PEDIATRICS P.C.

Practice address

300 Main St
East Haven, CT 06512-2904

Phone

(203) 469-8882

Fax

(203) 467-9973

NPI assigned

Oct 18, 2006

Last updated

Jun 14, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Shi-Jen Cheng, M.D.NPI 1053300822

Title

President Pediatrician

Phone

(203) 469-8882

Specialties & licenses 2

Addresses

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

CLIA laboratory certificates

Locations

Practitioners 5

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.

• Shi Jen Cheng, MD

  • Pediatrics Physician
  • East Haven, CT
  • NPI 1053300822
  NPD (past) Authorized official
• Cindy Jayanetti, APRN

  • Pediatric Nurse Practitioner
  • East Haven, CT
  • NPI 1245562545

  Pediatrics

  NPD (past)
• Monica Mary Joyce-Montaudy, APRN

  • Pediatric Nurse Practitioner
  • Hartford, CT
  • NPI 1922097682

  Pediatrics

  NPD (past)
• Jessica Ricciardelli, APRN

  • Pediatric Nurse Practitioner
  • East Haven, CT
  • NPI 1831188598

  Pediatrics

  NPD (past)
• Mary Birmingham, M.D.

  • Pediatric Emergency Medicine (Emergency Medicine) Physician
  • Bronx, NY
  • NPI 1801070180
  NPD (past)

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339632000000",
    "number": "1376624106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 MAIN ST",
            "city": "EAST HAVEN",
            "state": "CT",
            "postal_code": "065122904",
            "telephone_number": "203-469-8882",
            "fax_number": "203-467-9973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MAIN ST",
            "city": "EAST HAVEN",
            "state": "CT",
            "postal_code": "065122904",
            "telephone_number": "203-469-8882",
            "fax_number": "203-467-9973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST HAVEN PEDIATRICS P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2012-06-14",
        "status": "A",
        "authorized_official_last_name": "CHENG",
        "authorized_official_first_name": "SHI-JEN",
        "authorized_official_title_or_position": "PRESIDENT PEDIATRICIAN",
        "authorized_official_telephone_number": "203-469-8882",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Terry Dukes, LCSW
• Elizabeth M. Earley, PA-C
• East Haven Eye Care, LLC
• East Haven General and Implant Dentistry, PLLC
• East Haven Markets LLC (Shoprite Pharmacy of East Haven)
• Elite Care Homemaker and Companion Services
• Elite Nursing Care
• Jihad Elkareh, PHARM.D, PH.D
• Sandra Enders
• Eoto Homecare LLC (SYNERGY HomeCare)

• Pediatrics Physician in East Haven, CT
• Providers in East Haven, CT by specialty
• Pediatrics Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2012; 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.