NPIMap

Organization Active NPI

Sound Beach Pediatrics, LLC

  • Pediatrics Physician
  • Stamford, CT
National Provider Identifier
1548625569
Registry record updated Aug 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
SOUND BEACH PEDIATRICS, LLC
Practice address
2001 W Main St
Suite 132
Stamford, CT 06902-4501
Phone
(203) 331-2044
Fax
(475) 619-9855
NPI assigned
Dec 17, 2015
Last updated
Aug 9, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2016

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

Authorized official

Name
Dr. Katherine Noble, MDNPI 1740275866
Title
MD
Phone
(203) 363-0123

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)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary
Primary Care Clinic/Center 261QP2300X 041814 CT

Addresses

Primary practice location

2001 W Main St
Suite 132
Stamford, CT 06902-4501

Mailing address

2001 W Main St
Suite 132
Stamford, CT 06902-4501
Phone (203) 363-0123

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
07D2109259Sound Beach Pediatrics2001 West Main St, Stamford, CT 06902Certificate of waiverFeb 22, 2028

National Provider Directory

National Provider Directory

Locations

2001 W Main St
Ste 132
Stamford, CT 06902
Phone (203) 363-0123

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12623/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1450310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470700800000",
    "number": "1548625569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 W MAIN ST",
            "address_2": "SUITE 132",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069024501",
            "telephone_number": "203-363-0123",
            "fax_number": "475-619-9855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 W MAIN ST",
            "address_2": "SUITE 132",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069024501",
            "telephone_number": "203-331-2044",
            "fax_number": "475-619-9855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUND BEACH PEDIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-17",
        "last_updated": "2016-08-09",
        "status": "A",
        "authorized_official_last_name": "NOBLE",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "203-363-0123",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CT",
            "license": "041814",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2016; 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.