Active NPI
Healthy Children Pediatrics, LLC
- Pediatrics Physician
- Middlebury, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- HEALTHY CHILDREN PEDIATRICS, LLC
- Practice address
- 1655 Straits Tpke
Middlebury, CT 06762-1839 - Phone
- (475) 444-2346
- NPI assigned
- Jan 24, 2022
- 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
- Ezzat Hafez, MD
- Title
- Managing Member
- Phone
- (475) 444-2346
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary |
Addresses
Primary practice location
1655 Straits Tpke
Middlebury, CT 06762-1839
Mailing address
1655 Straits Tpke
Middlebury, CT 06762-1839
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 |
|---|---|---|---|
| 07D2253455 | Healthy Children Pediatrics, LLC | Certificate of waiver | Feb 21, 2028 |
National Provider Directory
National Provider DirectoryLocations
1655 Straits Tpke
Middlebury, CT 06762
Phone (475) 444-2346
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
- Middlebury, CT
- NPI 1548270614
-
- Family Nurse Practitioner
- Middlebury, CT
- NPI 1225954670
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1645747200000",
"number": "1710639455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1655 STRAITS TPKE",
"city": "MIDDLEBURY",
"state": "CT",
"postal_code": "067621839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1655 STRAITS TPKE",
"city": "MIDDLEBURY",
"state": "CT",
"postal_code": "067621839",
"telephone_number": "475-444-2346"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTHY CHILDREN PEDIATRICS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-01-24",
"last_updated": "2022-02-25",
"certification_date": "2022-02-25",
"status": "A",
"authorized_official_last_name": "HAFEZ",
"authorized_official_first_name": "EZZAT",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "475-444-2346",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Middlebury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2022; 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.