Glastonbury Pediatrics

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

GLASTONBURY PEDIATRICS

Practice address

131 New London Tpke Ste 322
Glastonbury, CT 06033-2246

Phone

(860) 781-8181

Fax

(860) 781-8184

NPI assigned

Aug 16, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Gubbanna Kumar, MDNPI 1598729931

Title

Owner

Phone

(925) 315-1508

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19464/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gubbanna V Kumar, MD

  • Pediatrics Physician
  • Glastonbury, CT
  • NPI 1598729931
  NPD Authorized official

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

{
    "created_epoch": "1534377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661299200000",
    "number": "1740760032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 NEW LONDON TPKE STE 322",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060332246",
            "telephone_number": "860-781-8181",
            "fax_number": "860-781-8184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 NEW LONDON TPKE STE 322",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060332246",
            "telephone_number": "860-781-8181",
            "fax_number": "860-781-8184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLASTONBURY PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-16",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A",
        "authorized_official_last_name": "KUMAR",
        "authorized_official_first_name": "GUBBANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "925-315-1508",
        "authorized_official_name_prefix": "Dr.",
        "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": []
}

• Glastonbury Health Care Center Inc
• Glastonbury Health Care Center, Inc.
• Glastonbury Naturopathic Center LLC
• Glastonbury Osteopathic, LLC
• Glastonbury Pediatric Neuropsychology
• Glastonbury Physical Therapy, LLC
• Glastonbury Podiatry Group
• Glastonbury Psychiatric Care LLC
• Glastonbury Psychological Associates, PC
• Glastonbury Public Schools

• Pediatrics Physician in Glastonbury, CT
• Providers in Glastonbury, CT by specialty
• Pediatrics Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.

Verify at the official NPI Registry.