Vanessa Kesten Cedarbaum, MD
Individual provider Active NPI Pediatrics Physician · Woodbridge, CT
NPI 1821734294 · NPPES record last updated Jun 16, 2025
Key facts
- NPI
- 1821734294
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 81747 (CT)
- Practice address
- 1 Bradley Rd Ste 102
Woodbridge, CT 06525-2235 - Phone
- (203) 397-1243
- Fax
- (203) 397-1241
- NPI assigned
- May 9, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220701000730 | CT | Order and Referring Only - Pediatric Medicine |
6406236801 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 81747 | CT | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Medical Group, Inc. | Pediatrics | Past |
Accepting new patients |
| Child and Adolescent Health Care | Pediatrics | Past |
Accepting new patients |
Interoperability endpoints
- vcedarbaum571387@direct.ynhh.org
- vanessa.cedarbaum.1@11240.direct.athenahealth.com
- https://fhir.meditouchehr.com/api/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 81747 | CT | Yes |
Addresses
Primary practice location
1 Bradley Rd Ste 102
Woodbridge, CT 06525-2235
Mailing address
1 Bradley Rd Ste 102
Woodbridge, CT 06525-2235
Phone (203) 397-1243
Other providers in Woodbridge, CT
- Erica Marie Cardoso
- Brigid Buchheit Carney
- Ashley Carroll
- Cece Counseling, LLC
- Jesse M Cedarbaum
- Challenge to Change Counseling Services LLC
- Julie M Charron
- Monika Chhabra
- Traci Cipriano
- Michael Alan Cocco
All providers in Woodbridge, CT · Pediatrics Physician in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 16, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.