Organization Active NPI

Waterford Pediatrics

  • Pediatrics Physician
  • Waterford, CT
National Provider Identifier
1386571248
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
WATERFORD PEDIATRICS
Practice address
567 Vauxhall Street Ext Ste 105
Waterford, CT 06385-4331
Phone
(860) 816-2606
NPI assigned
May 5, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

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

Authorized official

Name
Mr. Amr Elmeki, MDNPI 1053757625
Title
Pediatrician
Phone
(860) 816-2606

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

567 Vauxhall Street Ext Ste 105
Waterford, CT 06385-4331

Mailing address

567 Vauxhall Street Ext Ste 105
Waterford, CT 06385-4331

National Provider Directory

National Provider Directory

Locations

567 Vauxhall Street Ext
Ste 105
Waterford, CT 06385
Phone (860) 816-2606

Practitioners & affiliated clinicians

Practitioners 1

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": "1777939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780444800000",
    "number": "1386571248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "567 VAUXHALL STREET EXT STE 105",
            "city": "WATERFORD",
            "state": "CT",
            "postal_code": "063854331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "567 VAUXHALL STREET EXT STE 105",
            "city": "WATERFORD",
            "state": "CT",
            "postal_code": "063854331",
            "telephone_number": "860-816-2606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERFORD PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-05",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A",
        "authorized_official_last_name": "ELMEKI",
        "authorized_official_first_name": "AMR",
        "authorized_official_title_or_position": "PEDIATRICIAN",
        "authorized_official_telephone_number": "860-816-2606",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.