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THE PEDIATRIC CARE CENTER LLC
NPI 1144591595
Specialist in Bristol, CT

Active since January 17, 2012
780 FARMINGTON AVE, BRISTOL, CT 06010(860) 589-4501(860) 589-4502 Get Directions Write a Review

NPPES record last updated: January 17, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About The Pediatric Care Center Llc NPPES

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

THE PEDIATRIC CARE CENTER LLC (NPI 1144591595) is a healthcare organization registered as a specialist in Bristol, Connecticut and active in the NPI registry since January 2012. The organization lists Susan Adeyinka, Owner, as its authorized official.

NPPES Registry Identity

NPI1144591595
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameTHE PEDIATRIC CARE CENTER LLC
Location Address780 FARMINGTON AVEBristol, CT 06010-3920
Mailing Address780 Farmington AveBristol, CT 06010-3920 · (860) 589-4501 · Fax (860) 589-4502
Phone(860) 589-4501
Fax(860) 589-4502
Organization SubpartNo
Authorized OfficialSusan AdeyinkaOwner · (860) 589-4501
Enumeration DateJanuary 17, 2012
✔ NPI 1144591595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CT · 038949
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X · License 002742 (CT)
780 FARMINGTON AVE, Bristol, CT 06010
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Other Identifiers 2

Medicaid1679736870CT
Medicaid1528120094CT

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 MULTIPLE SINGLE SPECIALTY GROUP

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 The Pediatric Care Center LLC's NPI number?

The NPI number for The Pediatric Care Center LLC is 1144591595. It was assigned to this organization in the NPPES registry on January 17, 2012.

Where is The Pediatric Care Center LLC located?

The Pediatric Care Center LLC is located at 780 Farmington Ave, Bristol, CT 06010. The listed phone number is (860) 589-4501.

What is The Pediatric Care Center LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for The Pediatric Care Center LLC was last updated on January 17, 2012. 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.