NPIMap

Organization Active NPI

Stamford Pediatric Associates, P.C.

  • Pediatrics Physician
  • Stamford, CT
National Provider Identifier
1831183177
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
STAMFORD PEDIATRIC ASSOCIATES, P.C.
Practice address
1275 Summer St
Suite 301
Stamford, CT 06905-5359
Phone
(203) 324-4109
Fax
(203) 969-1271
NPI assigned
Sep 1, 2005
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Jennifer F Henkind, M.D.NPI 1801961966
Title
Vice President
Phone
(203) 324-4109

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 CT Primary

Addresses

Primary practice location

1275 Summer St
Suite 301
Stamford, CT 06905-5359

Mailing address

1275 Summer St
Suite 301
Stamford, CT 06905-5359
Phone (203) 324-4109

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
07D0102604Stamford Pediatric Associates PC1275 Summer Street, Stamford, CT 06905Certificate of waiverMay 4, 2028

National Provider Directory

National Provider Directory

Locations

1275 Summer St
Stamford, CT 06905
Phone (203) 353-9099

1275 Summer St
Ste 301
Stamford, CT 06905
Phone (203) 324-4100

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1125532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1831183177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 SUMMER ST",
            "address_2": "SUITE 301",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069055359",
            "telephone_number": "203-324-4109",
            "fax_number": "203-969-1271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 SUMMER ST",
            "address_2": "SUITE 301",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069055359",
            "telephone_number": "203-324-4109",
            "fax_number": "203-969-1271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAMFORD PEDIATRIC ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-01",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HENKIND",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "203-324-4109",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "CT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.