Village Pediatrics

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

042135 Issued in CT

Legal business name

VILLAGE PEDIATRICS

Practice address

323 Riverside Ave Ste 2
Westport, CT 06880-4825

Phone

(201) 221-7337

Fax

(888) 354-7455

NPI assigned

Nov 25, 2008

Organization subpart

No

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

Authorized official

Name

C. Nicole Gorman, MD

Title

Owner

Phone

(203) 221-7337

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 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maria Bernardi, P.A.C.

  • Pediatrics Physician
  • Bridgeport, CT
  • NPI 1538268313
  NPD (past)
• Stephen Grevious, M.D.

  • Pediatrics Physician
  • Norwalk, CT
  • NPI 1093753972
  NPD (past)
• Jennifer B Gruen, M.D.

  • Pediatric Adolescent Medicine Physician
  • Westport, CT
  • NPI 1629036058
  NPD (past)
• Pamela Rae Lawrence Fanning, PA-C

  • Physician Assistant
  • Norwalk, CT
  • NPI 1043438435
  NPD (past)
• Nicholas Philip Matarazzo, M.D.

  • Pediatrics Physician
  • Westport, CT
  • NPI 1013273390
  NPD (past)
• Neysa J. McDonald

  • Pediatrics Physician
  • Waterbury, CT
  • NPI 1063602654
  NPD (past)
• Ashish Risal

  • Pediatrics Physician
  • Westport, CT
  • NPI 1720326150
  NPD (past)

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

{
    "created_epoch": "1227571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753056000000",
    "number": "1487809901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 RIVERSIDE AVE STE 2",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068804825",
            "telephone_number": "201-221-7337",
            "fax_number": "888-354-7455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 RIVERSIDE AVE STE 2",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068804825",
            "telephone_number": "201-221-7337",
            "fax_number": "888-354-7455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-25",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A",
        "authorized_official_last_name": "GORMAN",
        "authorized_official_first_name": "C.",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-221-7337",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "CT",
            "license": "042135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yovita Varnas, LIC.AC.
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• Sarah-Kate Venison, LMFT
• Sara Guthman Victor, LCSW
• Robert Vietro, MS LADC NCAC II
• Visione Inc
• Kurt V Voellmicke, MD
• Jeffrey Vonkohorn, PH.D.
• Joseph Paul Wagenseller, DMIN LPC NC PSYA
• Walgreen Co

• Pediatrics Physician in Westport, CT
• Providers in Westport, CT by specialty
• Pediatrics Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2025; 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.