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MODERN ERA PEDIATRIC PRACTICE
NPI 1194817460
Pediatrics - Adolescent Medicine in Bridgeport, CT

Active since September 28, 2006
3715 MAIN ST, SUITE 403, BRIDGEPORT, CT 06606(203) 371-4800(203) 371-4900 Get Directions Write a Review

NPPES record last updated: November 9, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Modern Era Pediatric Practice NPPES

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

MODERN ERA PEDIATRIC PRACTICE (NPI 1194817460) is a healthcare organization registered as an adolescent medicine in Bridgeport, Connecticut and active in the NPI registry since September 2006. The organization lists Anselm Chibuike Anyoha, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1194817460
Entity TypeOrganization
Primary Taxonomy2080A0000X
Legal Business NameMODERN ERA PEDIATRIC PRACTICE
Location Address3715 MAIN ST, SUITE 403Bridgeport, CT 06606-3618
Mailing Address3715 Main St, Suite 403Bridgeport, CT 06606-3618 · (203) 371-4800 · Fax (203) 371-4900
Phone(203) 371-4800
Fax(203) 371-4900
Organization SubpartNo
Authorized OfficialAnselm Chibuike AnyohaMedical Director · (203) 371-4800
Enumeration DateSeptember 28, 2006
Last NPPES UpdateNovember 9, 2012
✔ NPI 1194817460 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.
3715 MAIN ST, Bridgeport, CT 06606
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Other Identifiers 3

Medicare ID-Type Unspecified370001266CT
Medicare UPING44659
Medicaid001352799CT

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

Other Providers at the Same Location NPPES 20

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

MERRITT DENTAL LLC
Dentist (General Practice)
3715 MAIN ST, 409
BRIDGEPORT, CT 06606
Greater Bridgeport Planning Region (203) 373-9889
DR. HOUA VANG D.C.
Chiropractor
3715 MAIN ST, SUITE 100
BRIDGEPORT, CT 06606
Greater Bridgeport Planning Region (203) 371-6200
ANTHONY CICCAGLIONE, MD PC
Internal Medicine
3715 MAIN ST, SUITE 408
BRIDGEPORT, CT 06606
Greater Bridgeport Planning Region (203) 371-0406
JENNIFER ANN NETTER DC
Chiropractor
3715 MAIN ST, SUITE 100
BRIDGEPORT, CT 06606
Greater Bridgeport Planning Region (203) 371-6200
CHELSEA KENDALL CROSS APRN FNP-BC
Nurse Practitioner (Family)
3715 MAIN ST
BRIDGEPORT, CT 06606
Greater Bridgeport Planning Region (203) 371-7111
DR. ANTHONY G CICCAGLIONE M.D.
Internal Medicine
3715 MAIN ST, STE 408
BRIDGEPORT, CT 06606
Greater Bridgeport Planning Region (203) 371-0406
MR. SCOTT MOOHUN SEO M.D., PH.D.
Ophthalmology
3715 MAIN ST, SUITE 309
BRIDGEPORT, CT 06606
Greater Bridgeport Planning Region (203) 372-4211
MR. ADRIAN WOLODYMYR KLUFAS MD
Internal Medicine
3715 MAIN ST, STE 203
BRIDGEPORT, CT 06606
Greater Bridgeport Planning Region (203) 371-0773

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 Modern Era Pediatric Practice's NPI number?

The NPI number for Modern Era Pediatric Practice is 1194817460. It was assigned to this organization in the NPPES registry on September 28, 2006.

Where is Modern Era Pediatric Practice located?

Modern Era Pediatric Practice is located at 3715 Main St Suite 403, Bridgeport, CT 06606. The listed phone number is (203) 371-4800.

What is Modern Era Pediatric Practice's specialty?

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

When was this NPI record last updated?

The NPPES record for Modern Era Pediatric Practice was last updated on November 9, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.