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WEST HAVEN PEDIATRICS, LLC
NPI 1104294644
Pediatrics in West Haven, CT

Active since September 14, 2015CLIA 07D2102458 · Waiver
367 ELM ST, WEST HAVEN, CT 06516(203) 932-3227(203) 931-2848 Get Directions Write a Review

NPPES record last updated: December 24, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About West Haven Pediatrics, Llc NPPES

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

WEST HAVEN PEDIATRICS, LLC (NPI 1104294644) is a healthcare organization registered as a pediatrics in West Haven, Connecticut and active in the NPI registry since September 2015. The organization holds a CLIA Waiver certificate valid through September 22, 2027 and lists Jobey Jacob, Owner, as its authorized official.

NPPES Registry Identity

NPI1104294644
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameWEST HAVEN PEDIATRICS, LLC
Location Address367 ELM STWest Haven, CT 06516-4217
Mailing Address367 Elm StWest Haven, CT 06516-4217 · (203) 932-3227 · Fax (203) 931-2848
Phone(203) 932-3227
Fax(203) 931-2848
Organization SubpartNo
Authorized OfficialJobey JacobOwner · (203) 932-3227
Enumeration DateSeptember 14, 2015
Last NPPES UpdateDecember 24, 2015
✔ NPI 1104294644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X
367 ELM ST, West Haven, CT 06516
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 07D2102458

West Haven Pediatrics, LLC · West Haven, CT
Active · expires Sep 22, 2027
CLIA Number07D2102458
Laboratory TypePhysician Office
Certificate Effective DateSeptember 23, 2025
Certificate Expiration DateSeptember 22, 2027
Laboratory DirectorJobey Jacob
Laboratory Phone(203) 932-3227
Laboratory LocationWest Haven Pediatrics, LLC367 Elm St, West Haven, CT 06516
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.

WEST HAVEN PEDIATRICS, LLC
Clinic/Center (Primary Care)
367 ELM ST, 2ND FLOOR
WEST HAVEN, CT 06516
South Central Connecticut Planning Region (203) 932-3227

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 West Haven Pediatrics, LLC's NPI number?

The NPI number for West Haven Pediatrics, LLC is 1104294644. It was assigned to this organization in the NPPES registry on September 14, 2015.

Where is West Haven Pediatrics, LLC located?

West Haven Pediatrics, LLC is located at 367 Elm St, West Haven, CT 06516. The listed phone number is (203) 932-3227.

What is West Haven Pediatrics, LLC's specialty?

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

Does West Haven Pediatrics, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 07D2102458) is associated with this NPI, valid through September 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for West Haven Pediatrics, LLC was last updated on December 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.