Organization Active NPI

Darien Pediatric Associates, LLC

  • Pediatrics Physician
  • Darien, CT
National Provider Identifier
1578830584
Registry record updated Nov 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
12967 Issued in CT
Legal business name
DARIEN PEDIATRIC ASSOCIATES, LLC
Practice address
106 Noroton Avenue
Darien, CT 06820
Phone
(203) 655-9741
Fax
(203) 655-9249
NPI assigned
Nov 18, 2011
Last updated
Nov 18, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2011

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

Authorized official

Name
Michael N. Suchenski, MD
Title
M.D./Owner-Partner
Phone
(203) 655-9741

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 12967 CT Primary
Pediatrics Physician 208000000X 027977 CT
Pediatrics Physician 208000000X 029906 CT
Pediatrics Physician 208000000X 040425 CT

Addresses

Primary practice location

106 Noroton Avenue
Darien, CT 06820

Mailing address

106 Noroton Avenue
Darien, CT 06820
Phone (203) 655-9741

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
07D0927951Darien Pediatric Associates LLC106 Noroton Avenue, Darien, CT 06820Certificate of waiverMay 4, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1321574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321574400000",
    "number": "1578830584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 NOROTON AVENUE",
            "city": "DARIEN",
            "state": "CT",
            "postal_code": "06820",
            "telephone_number": "203-655-9741",
            "fax_number": "203-655-9249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 NOROTON AVENUE",
            "city": "DARIEN",
            "state": "CT",
            "postal_code": "06820",
            "telephone_number": "203-655-9741",
            "fax_number": "203-655-9249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DARIEN PEDIATRIC ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-18",
        "last_updated": "2011-11-18",
        "status": "A",
        "authorized_official_last_name": "SUCHENSKI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "M.D./OWNER-PARTNER",
        "authorized_official_telephone_number": "203-655-9741",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CT",
            "license": "12967",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CT",
            "license": "027977",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CT",
            "license": "029906",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CT",
            "license": "040425",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Darien, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2011; 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.