Individual provider Active NPI

Joyce Fong-Breton, M.D.

  • Pediatrics Physician
  • Enfield, CT
National Provider Identifier
1376640672
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
037874 Issued in CT
Practice address
155 Hazard Ave Ste 14
Enfield, CT 06082-4586
Phone
(860) 749-3169
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 037874 CT Primary

Addresses

Primary practice location

155 Hazard Ave Ste 14
Enfield, CT 06082-4586

Mailing address

155 Hazard Ave Ste 14
Enfield, CT 06082-4586
Phone (860) 749-3169

Other identifiers 1

IdentifierTypeStateIssuer
001378745MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101020001266 CT Practitioner - Pediatric Medicine 7618981796 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Prohealth Physicians PC Pediatrics CurrentSince Feb 26, 2025 Accepting new patients
Interanal Medicine and Pediatric Associates LLC Pediatrics PastSince Jan 27, 2006 Accepting new patients

Locations

7 Elm St
Ste 304
Enfield, CT 06082
Phone (860) 253-7236

155 Hazard Ave
Ste 14
Enfield, CT 06082
Phone (860) 749-3169

115 Spencer St
Winsted, CT 06098
Phone (860) 738-5810

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1376640672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 HAZARD AVE STE 14",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060824586",
            "telephone_number": "860-749-3169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 HAZARD AVE STE 14",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060824586",
            "telephone_number": "860-749-3169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONG-BRETON",
        "first_name": "JOYCE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CT",
            "license": "037874",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001378745",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Enfield, CT

Sources for this page

Verify at the official NPI Registry.