BRANFORD NORTH BRANFORD PEDIATRICS,PC (NPI# 1619186574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619186574 |
| Entity Type | Organization |
| Organization Name | BRANFORD NORTH BRANFORD PEDIATRICS,PC |
| Practice Address |
999 Foxon Rd North Branford CT 06471-1287 |
| Mailing Address |
682 E Main St Branford CT 06405-2907 |
| Practice Telephone | 2034847334 |
| Practice Fax Number | 2034847301 |
| Mailing Telephone | 2034815591 |
| Mailing Fax Number | 2034815594 |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2013-05-07 |
| Authorized Official Name | DR. LINDA A. WALDMAN (PRESIDENT) |
| Authorized Official Telephone | 2034815591 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 004174132 | 05 |
| Street Address |
999 FOXON RD |
| City | NORTH BRANFORD |
| State | CT |
| Zip Code | 06471-1287 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386750156 | Jacquelyn Lisa Kos | Chiropractor | 999 Foxon Rd, Unite 8, North Branford, CT 06471 | 2006-08-22 |
| 1447471859 | Ann Jennings Maley | Pediatrics | 999 Foxon Rd, North Branford, CT 06471-1287 | 2007-05-01 |
| 1134251689 | Jennifer M Carlson | Nurse Practitioner | 999 Foxon Rd, Suite 36, North Branford, CT 06471-1287 | 2007-03-11 |
| 1942362652 | Alanna Coughlin | Pediatrics | 999 Foxon Rd, North Branford, CT 06471-1287 | 2006-12-16 |
| 1033212469 | Richard Francis Whelan | Specialist | 999 Foxon Rd, Suite 36, North Branford, CT 06471-1287 | 2006-09-07 |
| 1447361084 | Suzanne Ivie | Chiropractor | 999 Foxon Rd, Unit 8, North Branford, CT 06471-1287 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154646438 | Donielle Didiano | Social Worker | 201 Branford Rd, North Branford, CT 06471 | 2010-03-30 |
| 1982887030 | Big Y Foods Inc | Durable Medical Equipment & Medical Supplies | 1289 Foxon Road, Route 80, North Branford, CT 06471 | 2007-12-12 |
| 1790980175 | Kos Chiropractic Center Dc PC | Chiropractor | 999 Foxon Road Suite 8, North Branford, CT 06471 | 2007-06-18 |
| 1588761225 | Melinda L Lazarus | Social Worker | 53 Cedar Lake Rd, North Branford, CT 06471 | 2006-09-17 |
| 1689788580 | Town North Branford Counseling Services | Social Worker | 1599 Foxon Road, North Branford, CT 06471-0287 | 2006-08-18 |
| 1750786463 | Jorge Luis Camejo II | Counselor | 17 Jay Pl, North Branford, CT 06471-1009 | 2014-10-24 |
| 1154731479 | Stacey Lynn Schofield | Specialist/Technologist | 49 Caputo Rd, North Branford, CT 06471-1028 | 2014-05-08 |
| 1801424635 | Gina Mentone | Specialist/Technologist | 22 Wood Chase Ln, North Branford, CT 06471-1054 | 2020-03-28 |
| 1225235088 | Lenore Shapiro | Physical Therapist | 635 Foxon Rd, North Branford, CT 06471-1127 | 2007-06-27 |
| 1275016362 | Hannah Isacson D.c. LLC | Clinic/Center | 635 Foxon Rd, North Branford, CT 06471-1127 | 2018-09-13 |
| Find all providers in zip 06471 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| 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/certification - 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 |
|---|---|---|---|---|
| 1780246306 | Pediatric Health Associates of Coneecticut, LLC | Pediatrics | 239 Silas Deane Hwy, Wethersfield, CT 06109-1730 | 2019-07-03 |
| 1073943668 | Pediatric Walk In Care LLC | Pediatrics | 141 B Hazard Avenue, Enfield, CT 06082-5412 | 2013-11-18 |
| 1225319445 | Enfield Pediatric Associates,p.c. | Pediatrics | 155 Hazard Ave Ste 14, Enfield, CT 06082-4586 | 2011-09-01 |
| 1962686824 | Kimberly Ju Kim | Pediatrics | 820 C Prospect Hill Road, Windsor, CT 06095 | 2007-12-27 |
| 1326166125 | Mary A. Simon | Pediatrics | 7 Melrose Dr, Farmington, CT 06032-0893 | 2007-03-27 |
| 1376678516 | Sydney Zane Spiesel | Pediatrics | 8 Lunar Dr, Woodbridge, CT 06525-2352 | 2007-02-21 |
| 1649314279 | Charles Ray Jones | Pediatrics | 111 Park St Ste F, New Haven, CT 06511-5412 | 2007-02-16 |
| 1427110469 | Radhika Malhotra | Pediatrics | 100 Bank St, Suite 307, Seymour, CT 06483-2806 | 2006-12-15 |
| 1386704682 | Andrews Adu Adade | Pediatrics | 18 Hillandale Ave, Stamford, CT 06902-2808 | 2006-12-11 |
| 1982706032 | John Gerald Pitegoff | Pediatrics | 1225 Silver St, Middletown, CT 06457-3920 | 2006-09-01 |
| Find all providers with the same taxonomy | ||||
| City | NORTH BRANFORD |
| Zip Code | 06471 |
Please comment or provide details below to improve the information on BRANFORD NORTH BRANFORD PEDIATRICS,PC.
| 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.