Active NPI
Valley Pediatrics of Greenwich, LLC
- Health Maintenance Organization
- Greenwich, CT
National Provider Identifier
1700022654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Maintenance Organization
- License
- 032729
- Legal business name
- VALLEY PEDIATRICS OF GREENWICH, LLC
- Practice address
- 25 Valley Dr
Greenwich, CT 06831-5203 - Phone
- (203) 622-4301
- NPI assigned
- Dec 24, 2008
- 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. Paul Edward Juan
- Title
- Managing Partner
- Phone
- (203) 622-4301
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Maintenance Organization | 302R00000X | 032729 | CT | Primary |
Addresses
Primary practice location
25 Valley Dr
Greenwich, CT 06831-5203
Mailing address
25 Valley Dr
Greenwich, CT 06831-5203
Phone (203) 622-4301
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 |
|---|---|---|---|
| 07D1093627 | Valley Pediatrics of Greenwich, LLC | Certificate of waiver | Sep 10, 2027 |
National Provider Directory
National Provider DirectoryLocations
25 Valley Dr
Ste 2
Greenwich, CT 06831
Phone (203) 302-3570
25 Valley Dr
Greenwich, CT 06831
Phone (203) 661-3333
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- Greenwich, CT
- NPI 1023697398
-
- Pediatrics Physician
- Greenwich, CT
- NPI 1649768326
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1230076800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1230076800000",
"number": "1700022654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 VALLEY DR",
"city": "GREENWICH",
"state": "CT",
"postal_code": "068315203",
"telephone_number": "203-622-4301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 VALLEY DR",
"city": "GREENWICH",
"state": "CT",
"postal_code": "068315203",
"telephone_number": "203-622-4301"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VALLEY PEDIATRICS OF GREENWICH, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-12-24",
"last_updated": "2008-12-24",
"status": "A",
"authorized_official_last_name": "JUAN",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "EDWARD",
"authorized_official_title_or_position": "MANAGING PARTNER",
"authorized_official_telephone_number": "203-622-4301",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "302R00000X",
"taxonomy_group": "",
"desc": "Health Maintenance Organization",
"state": "CT",
"license": "032729",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenwich, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 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.