Organization Active NPI

Guilford Pediatrics Inc

  • Pediatrics Physician
  • Guilford, CT
National Provider Identifier
1649452558
Registry record updated Dec 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
GUILFORD PEDIATRICS INC
Practice address
152 Broad Street
Guilford, CT 06437-2603
Phone
(203) 453-5235
Fax
(203) 453-6204
NPI assigned
Dec 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2008

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

Authorized official

Name
Dr. Jonathan HR Stein III, MDNPI 1952484032
Title
President
Phone
(203) 453-5235

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 1

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

Addresses

Primary practice location

152 Broad Street
Guilford, CT 06437-2603

Mailing address

152 Broad Street
Guilford, CT 06437-2603
Phone (203) 453-5235

Other identifiers 1

IdentifierTypeStateIssuer
004001939MedicaidCT

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
07D0096684Guilford Pediatrics Inc152 Broad St, Guilford, CT 06437ComplianceSep 22, 2027

National Provider Directory

National Provider Directory

Locations

152 Broad St
Guilford, CT 06437
Phone (203) 453-5235

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1196640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229299200000",
    "number": "1649452558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 BROAD STREET",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064372603",
            "telephone_number": "203-453-5235",
            "fax_number": "203-453-6204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 BROAD STREET",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064372603",
            "telephone_number": "203-453-5235",
            "fax_number": "203-453-6204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUILFORD PEDIATRICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-03",
        "last_updated": "2008-12-15",
        "status": "A",
        "authorized_official_last_name": "STEIN",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "HR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-453-5235",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004001939",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Guilford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2008; 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.