Organization Active NPI

Whitney Pediatrics & Adolescent Medicine, P.C.

  • Pediatric Adolescent Medicine Physician
  • Hamden, CT
National Provider Identifier
1689634529
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
Legal business name
WHITNEY PEDIATRICS & ADOLESCENT MEDICINE, P.C.
Practice address
2200 Whitney Ave
Suite 240
Hamden, CT 06518-3691
Phone
(203) 287-5400
Fax
(203) 281-3001
NPI assigned
Mar 24, 2006
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
Robert Joseph Anderson, M.D.
Title
President
Phone
(203) 287-5400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080A0000X Primary

Addresses

Primary practice location

2200 Whitney Ave
Suite 240
Hamden, CT 06518-3691

Mailing address

2200 Whitney Ave
Suite 240
Hamden, CT 06518-3691
Phone (203) 287-5400

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689634529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 WHITNEY AVE",
            "address_2": "SUITE 240",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183691",
            "telephone_number": "203-287-5400",
            "fax_number": "203-281-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 WHITNEY AVE",
            "address_2": "SUITE 240",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183691",
            "telephone_number": "203-287-5400",
            "fax_number": "203-281-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITNEY PEDIATRICS & ADOLESCENT MEDICINE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-287-5400",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamden, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.