Milford Pediatric Group, PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

001279 Issued in CT

Legal business name

MILFORD PEDIATRIC GROUP, PC

Practice address

50 Commerce Park
Milford, CT 06460-3565

Phone

(203) 882-2066

Fax

(203) 882-2074

NPI assigned

Mar 28, 2007

Last updated

Jul 5, 2023By 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. Jeffrey Gruskay, MDNPI 1588674345

Title

Pres.

Phone

(203) 882-2066

Specialties & licenses 1

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 8

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.

• Jeffrey Gruskay, MD

  • Neonatal-Perinatal Medicine Physician
  • Milford, CT
  • NPI 1588674345
  NPD (past) Authorized official
• Jaime K Anderson, APRN

  • Pediatric Nurse Practitioner
  • Milford, CT
  • NPI 1477684900
  NPD (past)
• Richard Kevin Edwards, APRN

  • Pediatric Nurse Practitioner
  • Milford, CT
  • NPI 1689794133
  NPD (past)
• Danielle Khorsandi, APRN

  • Family Nurse Practitioner
  • Milford, CT
  • NPI 1295010767
  NPD (past)
• Harry Kipperman, MD

  • Pediatrics Physician
  • Milford, CT
  • NPI 1053321786
  NPD (past)
• Christopher C Lawrence, MD

  • Pediatrics Physician
  • Milford, CT
  • NPI 1790798742
  NPD (past)
• Roberta Lockhart, MD

  • Pediatrics Physician
  • Milford, CT
  • NPI 1811907686
  NPD (past)
• Howard Sadinsky, DO

  • Pediatrics Physician
  • Milford, CT
  • NPI 1699785337
  NPD (past)

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688515200000",
    "number": "1407975675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 COMMERCE PARK",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064603565",
            "telephone_number": "203-882-2066",
            "fax_number": "203-882-2074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 COMMERCE PARK",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064603565",
            "telephone_number": "203-882-2066",
            "fax_number": "203-882-2074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILFORD PEDIATRIC GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A",
        "authorized_official_last_name": "GRUSKAY",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PRES.",
        "authorized_official_telephone_number": "203-882-2066",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CT",
            "license": "001279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Milford, CT
• Providers in Milford, CT by specialty
• Specialist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2023; 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.