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ABC PEDIATRICS LLC
NPI 1083366314
Pediatrics in Manchester, CT

Active since January 18, 2022CLIA 07D2005038 · Waiver
945 MAIN ST STE 212, MANCHESTER, CT 06040(860) 649-6166 Get Directions Write a Review

NPPES record last updated: January 18, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Abc Pediatrics Llc NPPES

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

ABC PEDIATRICS LLC (NPI 1083366314) is a healthcare organization registered as a pediatrics in Manchester, Connecticut and active in the NPI registry since January 2022. The organization holds a CLIA Waiver certificate valid through March 17, 2028 and lists Anjum Khera, Md, as its authorized official.

NPPES Registry Identity

NPI1083366314
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameABC PEDIATRICS LLC
Location Address945 MAIN ST STE 212Manchester, CT 06040-6064
Mailing Address945 Main St Ste 212Manchester, CT 06040-6064
Phone(860) 649-6166
Organization SubpartNo
Authorized OfficialAnjum KheraMd · (860) 649-6166
Enumeration DateJanuary 18, 2022
NPPES CertifiedJanuary 18, 2022
✔ NPI 1083366314 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.
945 MAIN ST STE 212, Manchester, CT 06040
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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 07D2005038

Abc Pediatrics · Manchester, CT
Active · expires Mar 17, 2028
CLIA Number07D2005038
Laboratory TypePhysician Office
Certificate Effective DateMarch 18, 2026
Certificate Expiration DateMarch 17, 2028
Laboratory DirectorDr. Anjum Khera
Laboratory Phone(860) 649-6166
Laboratory LocationAbc Pediatrics945 Main Street Suite 212, Manchester, CT 06040
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

MRS. COLLEEN BOZENA SVYSTUN APRN
Nurse Practitioner (Family)
945 MAIN ST STE 212
MANCHESTER, CT 06040
Capitol Planning Region (860) 967-4495

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 Abc Pediatrics LLC's NPI number?

The NPI number for Abc Pediatrics LLC is 1083366314. It was assigned to this organization in the NPPES registry on January 18, 2022.

Where is Abc Pediatrics LLC located?

Abc Pediatrics LLC is located at 945 Main St Ste 212, Manchester, CT 06040. The listed phone number is (860) 649-6166.

What is Abc Pediatrics LLC's specialty?

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

Does Abc Pediatrics LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 07D2005038) is associated with this NPI, valid through March 17, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Abc Pediatrics LLC was last updated on January 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.