SOUND BEACH PEDIATRICS, LLC (NPI# 1548625569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548625569 |
| Entity Type | Organization |
| Organization Name | SOUND BEACH PEDIATRICS, LLC |
| Practice Address |
2001 W Main St Suite 132 Stamford CT 06902-4501 |
| Practice Telephone | 2033312044 |
| Practice Fax Number | 4756199855 |
| Mailing Telephone | 2033630123 |
| Mailing Fax Number | 4756199855 |
| Enumeration Date | 2015-12-17 |
| Last Update Date | 2016-08-09 |
| Authorized Official Name | DR. KATHERINE NOBLE (MD) |
| Authorized Official Telephone | 2033630123 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
041814 | CT | Ambulatory Health Care Facilities |
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | SOUND BEACH PEDIATRICS, LLC | 2001 West Main Street, Suite 132, Stamford, CT 06902 |
| Street Address |
2001 W MAIN ST SUITE 132 |
| City | STAMFORD |
| State | CT |
| Zip Code | 06902-4501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740275866 | Katherine Kelly Noble | Pediatrics | 2001 W Main St, Suite 132, Stamford, CT 06902-4501 | 2005-09-14 |
| 1073011870 | Matthew Mason | Physician Assistant | 2001 W Main St, Stamford, CT 06902-4501 | 2018-01-26 |
| 1255844197 | Philease J Martin | Physician Assistant | 2001 W Main St, Stamford, CT 06902-4501 | 2017-11-14 |
| 1760856306 | Clinic 21 of Connecticut LLC | Emergency Medicine | 2001 W Main St, #100, Stamford, CT 06902-4501 | 2015-11-19 |
| 1619346418 | Celebrating Children | Occupational Therapist | 2001 W Main St, Suite #135, Stamford, CT 06902-4501 | 2015-09-22 |
| 1316386428 | Munroetherapies & Consultation, P.C. | Community/Behavioral Health | 2001 W Main St, Stamford, CT 06902-4501 | 2013-06-21 |
| 1801231659 | Nordberg Plastic Surgery Center, LLC | Clinic/Center | 2001 W Main St, Suite 150, Stamford, CT 06902 | 2013-05-07 |
| 1285975417 | Beth O'donnell, Ph.d. LLC | Psychologist | 2001 W Main St, Suite 106g, Stamford, CT 06902-4501 | 2013-03-13 |
| 1598931057 | Louise Marie Anselmo | Physical Therapist | 2001 W Main St, Suite 132, Stamford, CT 06902-4501 | 2008-05-05 |
| 1043482128 | Leif O Nordberg Md, LLC | Clinic/Center | 2001 W Main St, Suite 155, Stamford, CT 06902 | 2008-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861043242 | Palak Bhambri | Pharmacist | 537 Canal Street, Stamford, CT 06902 | 2019-09-26 |
| 1730654815 | Brenice Duroseau | Nurse Practitioner | 292 Long Ridge Rd Ste 202, Stamford, CT 06902 | 2018-10-04 |
| 1447732862 | Ngoc Lam | Pharmacist | 1990 West Main Street, Stamford, CT 06902 | 2018-09-01 |
| 1336627264 | Margaret F Gorelick | Nurse Practitioner | Stamford Health, One Hospital Plaza, Stamford, CT 06902 | 2018-08-02 |
| 1174053425 | Ashley Marie Santana | Social Worker | 110 Commons Park N Apt 1158, Stamford, CT 06902 | 2017-06-19 |
| 1578090395 | Anas Al-sabbagh | Dentist | 1 Strawberry Hill Court Suite L7 Stamford, Connecticut, Stamford, CT 06902 | 2017-05-11 |
| 1154862936 | Hillary Rubin | Psychologist | 44 Commerce Avenue, Stamford, CT 06902 | 2017-03-14 |
| 1801332135 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1 Hospital Plz Ste G122, Stamford, CT 06902 | 2017-01-10 |
| 1932563277 | Mary Hurtadodemendoza | Pharmacist | 59 Courtland Ave 2m, Stamford, CT 06902 | 2016-04-13 |
| 1235592247 | Advanced Therapy and Performance LLC | Physical Medicine & Rehabilitation | 75 Selleck Street, Stamford, CT 06902 | 2016-03-29 |
| Find all providers in zip 06902 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114328796 | Michal A Manaster | Pediatrics | 1515 Summer St., Suite 101, Stamford, CT 06905-5150 | 2014-09-15 |
| 1275819922 | Lynn Nayona Cunado | Pediatrics | 1515 Summer St Unit 101, Stamford, CT 06905-5150 | 2011-10-26 |
| 1457651283 | Lukas A Konandreas | Pediatrics | 660 Bedford St, Stamford, CT 06901 | 2010-10-27 |
| 1104133859 | Sarah Kirsten Bohrer | Pediatrics | 151 Rolling Wood Dr, Stamford, CT 06905-2329 | 2010-09-01 |
| 1619015690 | Yong-son Basta | Pediatrics | Stamford Hospital, 30 Shelburne Rd, Department of Pediatrics, Stamford, CT 06904-9317 | 2007-02-02 |
| 1346326410 | Andrew Stuart Hart | Pediatrics | 1275 Summer St Ste 301, Stamford, CT 06905-5315 | 2006-10-31 |
| 1881788198 | Haydee Liliana Bujman De Lancman | Pediatrics | 1515 Summer St, Ste 101, Stamford, CT 06905 | 2006-10-03 |
| 1235142100 | Madhu Mathur | Pediatrics | 2777 Summer St, Ste 604, Stamford, CT 06905-4318 | 2006-08-14 |
| 1134182710 | Abby L Siegel | Pediatrics | 1011 High Ridge Rd, #207, Stamford, CT 06905-1610 | 2006-04-06 |
| 1740275866 | Katherine Kelly Noble | Pediatrics | 2001 W Main St, Suite 132, Stamford, CT 06902-4501 | 2005-09-14 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.