Individual provider Active NPI

Christine Elizabeth Macken, MD

  • Pediatrics Physician
  • Wilton, CT
National Provider Identifier
1952586497
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
047554 Issued in CT
Practice address
55 Danbury Rd
Wilton, CT 06897-4427
Phone
(203) 762-3363
Fax
(203) 762-1999
NPI assigned
Jan 3, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Non-RN) 174N00000X ALPP-34185
Pediatrics Physician 208000000X 047554 CT Primary

Addresses

Primary practice location

55 Danbury Rd
Wilton, CT 06897-4427

Mailing address

55 Danbury Rd
Wilton, CT 06897-4427
Phone (203) 762-3363

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
047554CTMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Doctors Pediatric PC Current Accepting new patients

Locations

55 Danbury Rd
Wilton, CT 06897
Phone (203) 762-3363

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IJCFAA

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1199318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1952586497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 DANBURY RD",
            "city": "WILTON",
            "state": "CT",
            "postal_code": "068974427",
            "telephone_number": "203-762-3363",
            "fax_number": "203-762-1999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 DANBURY RD",
            "city": "WILTON",
            "state": "CT",
            "postal_code": "068974427",
            "telephone_number": "203-762-3363",
            "fax_number": "203-762-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKEN",
        "first_name": "CHRISTINE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-03",
        "last_updated": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": "ALPP-34185",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CT",
            "license": "047554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilton, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; 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.