NPIMap

Organization Active NPI

The Center for Advanced Pediatrics, P.C

  • Pediatrics Physician
  • Norwalk, CT
National Provider Identifier
1750305017
Registry record updated Apr 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
THE CENTER FOR ADVANCED PEDIATRICS, P.C
Practice address
761 Main Ave
Norwalk, CT 06851
Phone
(203) 229-2000
Fax
(203) 840-9001
NPI assigned
Jul 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2013

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

Authorized official

Name
Ms. Jenna Stephanie Mirchin
Title
Billing Manager
Phone
(203) 229-2009

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X Primary
Pediatric Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0200X

Addresses

Primary practice location

761 Main Ave
Norwalk, CT 06851

Mailing address

761 Main Ave
Suite 112 the Center for Advanced Pediatrics, P.C.
Norwalk, CT 06851
Phone (203) 229-2000

Other names 1

  • Pediatric Associates Of Norwalk & Darien, P.C Former legal business name

National Provider Directory

National Provider Directory

Locations

40 Cross St
Ste 321
Norwalk, CT 06851

40 Cross St
Ste 300
Norwalk, CT 06851
Phone (203) 229-2000

40 Cross St
#3
Norwalk, CT 06851

69 East Ave
Norwalk, CT 06851
Phone (203) 229-2000

69 East Ave
Ste 1
Norwalk, CT 06851

40 Cross St
Ste 300B
Norwalk, CT 06851

9550 Forest Ln
Ste 210
Dallas, TX 75243
Phone (214) 343-7900

Practitioners & affiliated clinicians

Practitioners 28

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

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365724800000",
    "number": "1750305017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "761 MAIN AVE",
            "address_2": "SUITE 112 THE CENTER FOR ADVANCED PEDIATRICS, P.C.",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "06851",
            "telephone_number": "203-229-2000",
            "fax_number": "203-840-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "761 MAIN AVE",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "06851",
            "telephone_number": "203-229-2000",
            "fax_number": "203-840-9001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CENTER FOR ADVANCED PEDIATRICS, P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2013-04-12",
        "status": "A",
        "authorized_official_last_name": "MIRCHIN",
        "authorized_official_first_name": "JENNA",
        "authorized_official_middle_name": "STEPHANIE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "203-229-2009",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric Associates Of Norwalk & Darien, P.C",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Norwalk, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2013; 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.