Organization Active NPI

Newtown Center Pediatrics, LLC

  • Pediatrics Physician
  • Newtown, CT
National Provider Identifier
1669596409
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
037535 Issued in CT
Legal business name
NEWTOWN CENTER PEDIATRICS, LLC
Practice address
10 Queen St
Newtown, CT 06470-2122
Phone
(203) 426-3267
Fax
(203) 426-3909
NPI assigned
Mar 19, 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
Dr. Richard J Auerbach, MD
Title
Member, NCP LLC
Phone
(203) 426-3267

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208000000X 037535 CT Primary

Addresses

Primary practice location

10 Queen St
Newtown, CT 06470-2122

Mailing address

10 Queen St
Newtown, CT 06470-2122
Phone (203) 426-3267

Other identifiers 2

IdentifierTypeStateIssuer
1851334031OtherCTNPI RICHARD AUERBACH, MD
1598796435OtherCTNPI, LAURA S NOWACKI

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
07D1008214Newtown Center Pediatrics, LLC10 Queen Street, Newtown, CT 06470Certificate of waiverJan 13, 2027

National Provider Directory

National Provider Directory

Locations

10 Queen St
Newtown, CT 06470
Phone (203) 304-9977

Practitioners & affiliated clinicians

Practitioners 3

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": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669596409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 QUEEN ST",
            "city": "NEWTOWN",
            "state": "CT",
            "postal_code": "064702122",
            "telephone_number": "203-426-3267",
            "fax_number": "203-426-3909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 QUEEN ST",
            "city": "NEWTOWN",
            "state": "CT",
            "postal_code": "064702122",
            "telephone_number": "203-426-3267",
            "fax_number": "203-426-3909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWTOWN CENTER PEDIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AUERBACH",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MEMBER, NCP LLC",
        "authorized_official_telephone_number": "203-426-3267",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "CT",
            "license": "037535",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI RICHARD AUERBACH, MD",
            "identifier": "1851334031",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI, LAURA S NOWACKI",
            "identifier": "1598796435",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newtown, 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.
  • 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.