NPIMap

Organization Active NPI

T.L.C. Pediatrics, LLC

  • Pediatrics Physician
  • Norwalk, CT
National Provider Identifier
1801073176
Registry record updated Jan 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
037622 Issued in CT
Legal business name
T.L.C. PEDIATRICS, LLC
Practice address
10 Mott Ave
Norwalk, CT 06850-3320
Phone
(203) 855-7551
Fax
(203) 855-7624
NPI assigned
Jan 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2008

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

Authorized official

Name
Dr. Patricia R Jorquera, M.D.NPI 1669559951
Title
Pediatrician/Co-Owner
Phone
(203) 855-7551

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)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 037622 CT Primary

Addresses

Primary practice location

10 Mott Ave
Norwalk, CT 06850-3320

Mailing address

10 Mott Ave
Norwalk, CT 06850-3320
Phone (203) 855-7551

Other identifiers 1

IdentifierTypeStateIssuer
001376228MedicaidCT

National Provider Directory

National Provider Directory

Locations

10 Mott Ave
Ste 2A
Norwalk, CT 06850
Phone (203) 855-7551

10 Mott Ave
Norwalk, CT 06850
Phone (203) 853-0500

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201564800000",
    "number": "1801073176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 MOTT AVE",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068503320",
            "telephone_number": "203-855-7551",
            "fax_number": "203-855-7624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MOTT AVE",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068503320",
            "telephone_number": "203-855-7551",
            "fax_number": "203-855-7624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T.L.C. PEDIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-29",
        "last_updated": "2008-01-29",
        "status": "A",
        "authorized_official_last_name": "JORQUERA",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PEDIATRICIAN/CO-OWNER",
        "authorized_official_telephone_number": "203-855-7551",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "CT",
            "license": "037622",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001376228",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jan 29, 2008; 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.