Todd Robert Palker, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

044499 Issued in CT

Practice address

183 Cherry Street
New Canaan, CT 06840

Phone

(203) 972-5232

Fax

(203) 972-5234

NPI assigned

Aug 4, 2006

Last updated

Oct 16, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• New England Pediatrics, LLP

  • Pediatrics Physician
  • New Canaan, CT
  • NPI 1205844115
  NPD (past)

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350345600000",
    "number": "1417965302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "183 CHERRY STREET",
            "city": "NEW CANAAN",
            "state": "CT",
            "postal_code": "06840",
            "telephone_number": "203-972-5232",
            "fax_number": "203-972-5234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "183 CHERRY STREET",
            "city": "NEW CANAAN",
            "state": "CT",
            "postal_code": "06840",
            "telephone_number": "203-972-5232",
            "fax_number": "203-972-5234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALKER",
        "first_name": "TODD",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2012-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "237434",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CT",
            "license": "044499",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001444992",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Evan Ormond, LCSW
• Orthoconnecticut, PC (DBA, Coastal Orthopaedics, PC)
• Orthopaedic Surgery & Sports Medicine Center Inc
• Ashley Pacelli
• Philip Flemming Pacelli III, MD DMD
• Junghee Park
• Aesha S Patel, DO
• Divya Patel
• Joan Pehta, M.D.
• Maritza I Perez, MD

• Pediatrics Physician in New Canaan, CT
• Providers in New Canaan, CT by specialty
• Pediatrics Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2012; 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.