DOCTORS PEDIATRIC PC
NPI 1083822480
Pediatrics - Adolescent Medicine in Wilton, CT

Active since May 18, 2007CLIA Certified · 2 labs
55 DANBURY RD, WILTON, CT 06897(203) 762-3363(203) 762-1999 Get Directions Write a Review

NPPES record last updated: February 13, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Doctors Pediatric Pc NPPES

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

DOCTORS PEDIATRIC PC (NPI 1083822480) is a healthcare organization registered as an adolescent medicine in Wilton, Connecticut and active in the NPI registry since May 2007. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Ridgefield, and lists Christine Macken, Admin, as its authorized official.

NPPES Registry Identity

NPI1083822480
Entity TypeOrganization
Primary Taxonomy2080A0000X
Legal Business NameDOCTORS PEDIATRIC PC
Location Address55 DANBURY RDWilton, CT 06897-4405
Mailing Address55 Danbury RdWilton, CT 06897-4405 · (203) 762-3363 · Fax (203) 762-1999
Fax(203) 762-1999
Organization SubpartNo
Authorized OfficialChristine MackenAdmin · (203) 762-3363
Enumeration DateMay 18, 2007
Last NPPES UpdateFebruary 13, 2025
NPPES CertifiedFebruary 13, 2025
NPI 1083822480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
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.
55 DANBURY RD, Wilton, CT 06897

Secondary Practice Location 1

Location 110 South StreetRidgefield, CT 06879-4405 · Phone (203) 431-3363

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 2

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 07D1012287

Doctors Pediatric PC · Ridgefield, CT
Active · expires May 5, 2027
CLIA Number07D1012287
Laboratory TypePhysician Office
Certificate Effective DateMay 6, 2025
Certificate Expiration DateMay 5, 2027
Laboratory DirectorJeanne Militana
Laboratory Phone(203) 762-3363
Laboratory LocationDoctors Pediatric PC10 South St, Ste 206, Ridgefield, CT 06877
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 07D0673087

Doctors' Pediatric, PC · Wilton, CT
Active · expires Oct 13, 2026
CLIA Number07D0673087
Laboratory TypePhysician Office
Certificate Effective DateOctober 14, 2024
Certificate Expiration DateOctober 13, 2026
Laboratory DirectorChristine Macken
Laboratory Phone(203) 762-3363
Laboratory LocationDoctors' Pediatric, PC55 Danbury Rd, Wilton, CT 06897
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 12

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

Pediatrics
55 DANBURY RD
WILTON, CT 06897
Pediatrics (Adolescent Medicine)
55 DANBURY RD
WILTON, CT 06897
Pediatrics
55 DANBURY RD
WILTON, CT 06897
Pediatrics
55 DANBURY RD
WILTON, CT 06897
Nurse Practitioner (Pediatrics)
55 DANBURY RD
WILTON, CT 06897
Dentist (General Practice)
55 DANBURY RD
WILTON, CT 06897
Pediatrics
55 DANBURY RD
WILTON, CT 06897
Pediatrics
55 DANBURY RD
WILTON, CT 06897

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 Doctors Pediatric PC's NPI number?

The NPI number for Doctors Pediatric PC is 1083822480. It was assigned to this organization in the NPPES registry on May 18, 2007.

Where is Doctors Pediatric PC located?

Doctors Pediatric PC is located at 55 Danbury Rd, Wilton, CT 06897. The listed phone number is (203) 762-3363.

What is Doctors Pediatric PC's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Does Doctors Pediatric PC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Doctors Pediatric PC was last updated on February 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.