Active NPI
Newtown Center Pediatrics, LLC
- Pediatrics Physician
- Newtown, CT
National Provider Identifier
1669596409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 037535
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851334031 | Other | CT | NPI RICHARD AUERBACH, MD |
| 1598796435 | Other | CT | NPI, LAURA S NOWACKI |
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 |
|---|---|---|---|
| 07D1008214 | Newtown Center Pediatrics, LLC | Certificate of waiver | Jan 13, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pediatric Nurse Practitioner
- Newtown, CT
- NPI 1902240476
-
- Medical Physician Assistant
- Newtown, CT
- NPI 1154318251
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.