PEDIATRIC HEALTH ASSOCIATES OF CONEECTICUT, LLC


Address: 239 Silas Deane Hwy, Wethersfield, CT 06109-1730
Phone: 8604364620

PEDIATRIC HEALTH ASSOCIATES OF CONEECTICUT, LLC (NPI# 1780246306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1780246306
Entity Type Organization
Organization Name PEDIATRIC HEALTH ASSOCIATES OF CONEECTICUT, LLC
Practice Address 239 Silas Deane Hwy
Wethersfield
CT 06109-1730
Practice Telephone 8604364620
Practice Fax Number 8605007642
Mailing Telephone 8605131282
Mailing Fax Number 8603318821
Enumeration Date 2019-07-03
Last Update Date 2019-10-02
Authorized Official Name DR. SAIMA N JAFRI (DIRECTOR)
Authorized Official Telephone 8605131282
Authorized Official Credential DO
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080A0000X Pediatrics
Specialization: Adolescent Medicine
Allopathic & Osteopathic Physicians

Office Location

Street Address 239 SILAS DEANE HWY
City WETHERSFIELD
State CT
Zip Code 06109-1730

Providers in the same location

NPI Name Taxonomy Address Enumeration
1265039408 Askari H. Jafri, M.d., LLC Internal Medicine 239 Silas Deane Hwy, Fl 2, Wethersfield, CT 06109-1730 2020-10-01

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982223293 Sonya Voytas Maher Technician/Technologist 1197 Main Street, Coventry, CT 06109 2020-04-16
1336775485 Lance Morton Hearing Instrument Specialist Miracle Ear, 1206 Silas Deane Hwy, Wethersfield, CT 06109 2020-03-20
1780178350 Bethany Wittman Audiologist 988 Silas Deane Highway, Wethersfield, CT 06109 2018-06-18
1659806404 Lauren M Mcgrath Physical Therapist 672 Silas Deane Highway, Wethersfield, CT 06109 2017-04-28
1851824858 A Plus Senior Home Care LLC In Home Supportive Care 183 Clearfield Rd, Wethersfield, CT 06109 2017-04-06
1801270707 Dr.matthew Carbone Family Chiropractic Chiropractor 15 Country Club Rd, Wethersfield, CT 06109 2015-07-10
1629455910 Melanie Anne Parker Physical Therapist 850 Silas Deane Hwy #2, Wethersfield, CT 06109 2015-05-06
1508271875 Integrated Procare Services Counselor 415 Silas Deane Hwy # 401, Wethersfield, CT 06109 2014-06-25
1265867394 Caregiver Homes of Connecticut, Inc Custodial Care Facility 912 Silas Dean Highway - Suite 101, Weathersfield, CT 06109 2013-09-09
1285925651 Steven Warren Young Pharmacist 657 Silas Deane Highway, Rite Aid Pharmacy, Wethersfield, CT 06109 2011-04-20
Find all providers in zip 06109

Taxonomy Information

Taxonomy Code 2080A0000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Adolescent Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
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
1942319157 Margaret M O'neill Pediatrics 970 Farmington Ave Ste 201, West Hartford, CT 06107-2134 2006-08-30
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Competitor

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City WETHERSFIELD
Zip Code 06109

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Dataset Information

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.

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