Active NPI
Canterbury Pediatrics, PC
- Pediatrics Physician
- Monroe, CT
National Provider Identifier
1528077286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- CANTERBURY PEDIATRICS, PC
- Practice address
- 401 Monroe Tpke
Monroe, CT 06468-2276 - Phone
- (203) 452-1063
- NPI assigned
- Aug 5, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John P Tsalapatanis, MD
- Title
- MD
- Phone
- (203) 452-1063
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary | ||
| Pediatric Nurse Practitioner | 363LP0200X |
Addresses
Primary practice location
401 Monroe Tpke
Monroe, CT 06468-2276
Mailing address
401 Monroe Tpke
Monroe, CT 06468-2276
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 07D0944479 | Canterbury Pediatrics, PC | Certificate of waiver | Apr 13, 2028 |
National Provider Directory
National Provider DirectoryLocations
401 Monroe Tpke
Ste 16
Monroe, CT 06468
Phone (203) 452-1063
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Monroe, CT
- NPI 1295203289
-
- Primary Care Nurse Practitioner
- Monroe, CT
- NPI 1467384784
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1194480000000",
"number": "1528077286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 MONROE TPKE",
"city": "MONROE",
"state": "CT",
"postal_code": "064682276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 MONROE TPKE",
"city": "MONROE",
"state": "CT",
"postal_code": "064682276",
"telephone_number": "203-452-1063"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CANTERBURY PEDIATRICS, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-05",
"last_updated": "2007-11-08",
"status": "A",
"authorized_official_last_name": "TSALAPATANIS",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "203-452-1063",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LP0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Pediatrics",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monroe, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; 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.