Pediatrics P.C

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

020123 Issued in CT

Legal business name

PEDIATRICS P.C

Practice address

41 S Main St
New Milford, CT 06776-3507

Phone

(860) 355-4113

Fax

(860) 350-4271

NPI assigned

Apr 4, 2006

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Jennifer Meyers

Title

Office Manager

Phone

(860) 355-4113

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1982666277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 MINE HILL RD.",
            "city": "BRIDGEWATER",
            "state": "CT",
            "postal_code": "06752",
            "telephone_number": "860-355-0146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 S MAIN ST",
            "city": "NEW MILFORD",
            "state": "CT",
            "postal_code": "067763507",
            "telephone_number": "860-355-4113",
            "fax_number": "860-350-4271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRICS P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-04",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MEYERS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "860-355-4113",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CT",
            "license": "020123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatrics Physician in New Milford, CT
• Providers in New Milford, CT by specialty
• Pediatrics Physician in Connecticut

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.