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EAST HAVEN PEDIATRICS P.C.
NPI 1376624106
Pediatrics in East Haven, CT

Active since October 18, 2006CLIA 07D0098683 · Certificate of Compliance
300 MAIN ST, EAST HAVEN, CT 06512(203) 469-8882(203) 467-9973 Get Directions Write a Review

NPPES record last updated: June 14, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About East Haven Pediatrics P.c. NPPES

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

EAST HAVEN PEDIATRICS P.C. (NPI 1376624106) is a healthcare organization registered as a pediatrics in East Haven, Connecticut and active in the NPI registry since October 2006. The organization holds a CLIA Certificate of Compliance certificate valid through March 24, 2028 and lists Shi-jen Cheng, President Pediatrician, as its authorized official.

NPPES Registry Identity

NPI1376624106
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameEAST HAVEN PEDIATRICS P.C.
Location Address300 MAIN STEast Haven, CT 06512-2904
Mailing Address300 Main StEast Haven, CT 06512-2904 · (203) 469-8882 · Fax (203) 467-9973
Phone(203) 469-8882
Fax(203) 467-9973
Organization SubpartNo
Authorized OfficialShi-jen ChengPresident Pediatrician · (203) 469-8882
Enumeration DateOctober 18, 2006
Last NPPES UpdateJune 14, 2012
✔ NPI 1376624106 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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 · PediatricsTaxonomy 363LP0200X
300 MAIN ST, East Haven, CT 06512
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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 Compliance 07D0098683

East Haven Pediatrics PC · East Haven, CT
Active · expires Mar 24, 2028
CLIA Number07D0098683
Laboratory TypePhysician Office
Certificate Effective DateMarch 25, 2026
Certificate Expiration DateMarch 24, 2028
Laboratory DirectorShi Jen Cheng MD
Laboratory Phone(203) 469-8882
Laboratory LocationEast Haven Pediatrics PC300 Main St, East Haven, CT 06512
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 3

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

SHI JEN CHENG MD
Pediatrics
300 MAIN ST
EAST HAVEN, CT 06512
South Central Connecticut Planning Region (203) 469-8882
CINDY JAYANETTI APRN
Nurse Practitioner (Pediatrics)
300 MAIN ST
EAST HAVEN, CT 06512
South Central Connecticut Planning Region (203) 469-8882
JESSICA RICCIARDELLI APRN
Nurse Practitioner (Pediatrics)
300 MAIN ST
EAST HAVEN, CT 06512
South Central Connecticut Planning Region (203) 469-8882

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 East Haven Pediatrics P.C.'s NPI number?

The NPI number for East Haven Pediatrics P.C. is 1376624106. It was assigned to this organization in the NPPES registry on October 18, 2006.

Where is East Haven Pediatrics P.C. located?

East Haven Pediatrics P.C. is located at 300 Main St, East Haven, CT 06512. The listed phone number is (203) 469-8882.

What is East Haven Pediatrics P.C.'s specialty?

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

Does East Haven Pediatrics P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 07D0098683) is associated with this NPI, valid through March 24, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for East Haven Pediatrics P.C. was last updated on June 14, 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.