Pediatric Health Associates of Coneecticut, LLC

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

Legal business name

PEDIATRIC HEALTH ASSOCIATES OF CONEECTICUT, LLC

Practice address

239 Silas Deane Hwy
Wethersfield, CT 06109-1730

Phone

(860) 436-4620

Fax

(860) 500-7642

NPI assigned

Jul 3, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Saima N Jafri, DONPI 1699715490

Title

Director

Phone

(860) 513-1282

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Saima N Jafri, D.O.

  • Pediatrics Physician
  • Newington, CT
  • NPI 1699715490
  NPD (past) Authorized official
• Mohammed A Memon, M.D.

  • Internal Medicine Physician
  • Wethersfield, CT
  • NPI 1609826668
  NPD
• Brenda Castillo Jiminian, APRN

  • Pediatric Nurse Practitioner
  • Hartford, CT
  • NPI 1265275531
  NPD (past)

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

{
    "created_epoch": "1562112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569974400000",
    "number": "1780246306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 SILAS DEANE HWY",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061091730",
            "telephone_number": "860-513-1282",
            "fax_number": "860-331-8821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 SILAS DEANE HWY",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061091730",
            "telephone_number": "860-436-4620",
            "fax_number": "860-500-7642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC HEALTH ASSOCIATES OF CONEECTICUT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-03",
        "last_updated": "2019-10-02",
        "status": "A",
        "authorized_official_last_name": "JAFRI",
        "authorized_official_first_name": "SAIMA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "860-513-1282",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Maria M Perez Colon, LCSW
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• Pediatric Adolescent Medicine Physician in Wethersfield, CT
• Providers in Wethersfield, CT by specialty
• Pediatric Adolescent Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2019; 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.