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PEDIATRICS AND ADOLESCENT MEDICINE, P.C.
NPI 1033220108
Pediatrics in Orange, CT

Active since August 31, 2006
240 INDIAN RIVER RD, SUITE B-1, ORANGE, CT 06477(203) 795-4924(203) 799-1554 Get Directions Write a Review

NPPES record last updated: October 19, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pediatrics And Adolescent Medicine, P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PEDIATRICS AND ADOLESCENT MEDICINE, P.C. (NPI 1033220108) is a healthcare organization registered as a pediatrics in Orange, Connecticut and active in the NPI registry since August 2006. The organization lists Jonathan Charron, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1033220108
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePEDIATRICS AND ADOLESCENT MEDICINE, P.C.
Location Address240 INDIAN RIVER RD, SUITE B-1Orange, CT 06477-3649
Mailing Address240 Indian River Rd, Suite B-1Orange, CT 06477-3649 · (203) 795-4924 · Fax (203) 799-1554
Phone(203) 795-4924
Fax(203) 799-1554
Organization SubpartNo
Authorized OfficialJonathan CharronPractice Administrator · (203) 795-4924
Enumeration DateAugust 31, 2006
Last NPPES UpdateOctober 19, 2011
✔ NPI 1033220108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
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.
240 INDIAN RIVER RD, Orange, CT 06477
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Other Identifiers 1

Medicaid4394003CT

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 07D0097546

Pediatrics & Adolescent Medicine · Orange, CT
Expired · Jul 6, 2026
CLIA Number07D0097546
Laboratory TypePhysician Office
Certificate Effective DateJuly 7, 2024
Certificate Expiration DateJuly 6, 2026
Laboratory DirectorPei Juan Salerno
Laboratory Phone(203) 795-6025
Laboratory LocationPediatrics & Adolescent Medicine240 Indian River Rd Ste B1, Orange, CT 06477
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ROCIO ALICEA O.D., LLC
Optometrist
240 INDIAN RIVER RD, C-3
ORANGE, CT 06477
South Central Connecticut Planning Region (203) 553-9797
WEVERTON DEPAULA
Technician/Technologist (Optician)
240 INDIAN RIVER RD, C-3
ORANGE, CT 06477
South Central Connecticut Planning Region (203) 553-9797
LDO, LLC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
240 INDIAN RIVER RD, BUILDING D
ORANGE, CT 06477
South Central Connecticut Planning Region (203) 891-8992
JILLIAN MARIE REID DNP, APRN
Nurse Practitioner (Adult Health)
240 INDIAN RIVER RD
ORANGE, CT 06477
South Central Connecticut Planning Region (203) 497-3861
MEDICAL ONCOLOGY & HEMATOLOGY PC
Clinical Medical Laboratory
240 INDIAN RIVER RD, SUITE A1
ORANGE, CT 06477
South Central Connecticut Planning Region (203) 795-1664
NORTHEAST HEARING LLC
Hearing Aid Equipment
240 INDIAN RIVER RD, BLDG A
ORANGE, CT 06477
South Central Connecticut Planning Region (203) 795-4533
JUDITH A SHOMSKY
Hearing Instrument Specialist
240 INDIAN RIVER RD, BLDG A
ORANGE, CT 06477
South Central Connecticut Planning Region (203) 795-4533
CONSTELLATION HOME CARE LLC
Hospice Care, Community Based
240 INDIAN RIVER RD
ORANGE, CT 06477
South Central Connecticut Planning Region (203) 497-3888

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pediatrics And Adolescent Medicine, P.C.'s NPI number?

The NPI number for Pediatrics And Adolescent Medicine, P.C. is 1033220108. It was assigned to this organization in the NPPES registry on August 31, 2006.

Where is Pediatrics And Adolescent Medicine, P.C. located?

Pediatrics And Adolescent Medicine, P.C. is located at 240 Indian River Rd Suite B-1, Orange, CT 06477. The listed phone number is (203) 795-4924.

What is Pediatrics And Adolescent Medicine, P.C.'s specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Pediatrics And Adolescent Medicine, P.C. was last updated on October 19, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.