NPIMap

Organization Active NPI

Naugatuck Pediatrics, LLC

  • Pediatrics Physician
  • Naugatuck, CT
National Provider Identifier
1497959233
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
NAUGATUCK PEDIATRICS, LLC
Practice address
577 Church St
Naugatuck, CT 06770-2808
Phone
(203) 729-2186
Fax
(203) 729-2660
NPI assigned
Jun 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Lori Elser, LPN
Title
Office Manager
Phone
(203) 729-2284

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X CT Primary

Addresses

Primary practice location

577 Church St
Naugatuck, CT 06770-2808

Mailing address

577 Church St
Naugatuck, CT 06770-2808
Phone (203) 729-2186

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497959233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "577 CHURCH ST",
            "city": "NAUGATUCK",
            "state": "CT",
            "postal_code": "067702808",
            "telephone_number": "203-729-2186",
            "fax_number": "203-729-2660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "577 CHURCH ST",
            "city": "NAUGATUCK",
            "state": "CT",
            "postal_code": "067702808",
            "telephone_number": "203-729-2186",
            "fax_number": "203-729-2660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAUGATUCK PEDIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ELSER",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "203-729-2284",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "CT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naugatuck, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.