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NORWICH PEDIATRIC GROUP, P.C.
NPI 1134329485
Pediatrics in Norwich, CT

Active since July 24, 2007CLIA 07D0095701 · Waiver
92 NEW LONDON TPKE, NORWICH, CT 06360(860) 889-3401(860) 823-1782 Get Directions Write a Review

NPPES record last updated: July 24, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Norwich Pediatric Group, P.c. NPPES

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

NORWICH PEDIATRIC GROUP, P.C. (NPI 1134329485) is a healthcare organization registered as a pediatrics in Norwich, Connecticut and active in the NPI registry since July 2007. The organization holds a CLIA Waiver certificate valid through November 3, 2026 and lists Anita M Maxim, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1134329485
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameNORWICH PEDIATRIC GROUP, P.C.
Location Address92 NEW LONDON TPKENorwich, CT 06360-2637
Mailing Address92 New London TpkeNorwich, CT 06360-2637 · (860) 889-3401 · Fax (860) 823-1782
Phone(860) 889-3401
Fax(860) 823-1782
Organization SubpartNo
Authorized OfficialAnita M MaximOffice Manager · (860) 889-3401
Enumeration DateJuly 24, 2007
✔ NPI 1134329485 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.
92 NEW LONDON TPKE, Norwich, CT 06360
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Other Identifiers 4

Medicare UPINF25020CT
Medicare UPINF25018
Medicare UPINF63003CT
Medicare UPINF25019CT

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 07D0095701

Norwich Pediatric Group PC · Norwich, CT
Active · expires Nov 3, 2026
CLIA Number07D0095701
Laboratory TypePhysician Office
Certificate Effective DateNovember 4, 2024
Certificate Expiration DateNovember 3, 2026
Laboratory DirectorRichard W. Geller
Laboratory Phone(860) 889-3835
Laboratory LocationNorwich Pediatric Group PC92 New London Tpke, Norwich, CT 06360
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

MRS. NANCY KANE CUSMANO MD
Pediatrics
92 NEW LONDON TPKE
NORWICH, CT 06360
Southeastern Connecticut Planning Region (860) 889-3835
MRS. PAMELA SIEBER KOLP APRN
Nurse Practitioner (Pediatrics)
92 NEW LONDON TPKE
NORWICH, CT 06360
Southeastern Connecticut Planning Region (860) 889-3835
VICTORIA LOU BENSKO APRN
Nurse Practitioner (Pediatrics)
92 NEW LONDON TPKE
NORWICH, CT 06360
Southeastern Connecticut Planning Region (860) 889-3835
RICHARD WARREN GELLER MD
Pediatrics
92 NEW LONDON TPKE
NORWICH, CT 06360
Southeastern Connecticut Planning Region (860) 884-3835
CHRISTOPHER FUSCO
Nurse Practitioner (Pediatrics)
92 NEW LONDON TPKE
NORWICH, CT 06360
Southeastern Connecticut Planning Region (203) 812-9686
CAITLIN PAUL APRN
Nurse Practitioner (Pediatrics)
92 NEW LONDON TPKE
NORWICH, CT 06360
Southeastern Connecticut Planning Region (860) 889-3401
MR. TIMOTHY JOSEPH SULLIVAN MD
Pediatrics
92 NEW LONDON TPKE
NORWICH, CT 06360
Southeastern Connecticut Planning Region (860) 889-3835

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 Norwich Pediatric Group, P.C.'s NPI number?

The NPI number for Norwich Pediatric Group, P.C. is 1134329485. It was assigned to this organization in the NPPES registry on July 24, 2007.

Where is Norwich Pediatric Group, P.C. located?

Norwich Pediatric Group, P.C. is located at 92 New London Tpke, Norwich, CT 06360. The listed phone number is (860) 889-3401.

What is Norwich Pediatric Group, P.C.'s specialty?

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

Does Norwich Pediatric Group, P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 07D0095701) is associated with this NPI, valid through November 3, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Norwich Pediatric Group, P.C. was last updated on July 24, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.