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PEDIATRIC CARE ASSOCIATES OF CONNECTICUT
NPI 1396867958
Pediatrics - Adolescent Medicine in Shelton, CT

Active since April 04, 2007
25 CONSTITUTION BLVD. SO, PEDI-CARE, SHELTON, CT 06484(203) 924-7334(203) 922-0004 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, May 30, 2017 (2 updates tracked since 2017).

About Pediatric Care Associates Of Connecticut NPPES

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

PEDIATRIC CARE ASSOCIATES OF CONNECTICUT (NPI 1396867958) is a healthcare organization registered as an adolescent medicine in Shelton, Connecticut and active in the NPI registry since April 2007. The organization lists Marie Leclerc, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1396867958
Entity TypeOrganization
Primary Taxonomy2080A0000X
Legal Business NamePEDIATRIC CARE ASSOCIATES OF CONNECTICUT
Location Address25 CONSTITUTION BLVD. SO, PEDI-CAREShelton, CT 06484-1300
Mailing Address25 Constitution Blvd S, Pedi-careShelton, CT 06484-4351 · (203) 924-7334 · Fax (203) 922-0004
Phone(203) 924-7334
Fax(203) 922-0004
Organization SubpartNo
Authorized OfficialMarie LeclercOffice Manager · (203) 924-7334
Enumeration DateApril 4, 2007
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1396867958 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.
25 CONSTITUTION BLVD. SO, Shelton, CT 06484
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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

Other Providers at the Same Location NPPES 2

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

DR. NICHOLAS MONGILLO M.D.
Pediatrics (Adolescent Medicine)
25 CONSTITUTION BLVD. SO
SHELTON, CT 06484
Naugatuck Valley Planning Region (203) 924-7334
DR. MELANIE GEORGALAS M.D.
Pediatrics (Adolescent Medicine)
25 CONSTITUTION BLVD. SO
SHELTON, CT 06484
Naugatuck Valley Planning Region (203) 924-7334

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 Pediatric Care Associates Of Connecticut's NPI number?

The NPI number for Pediatric Care Associates Of Connecticut is 1396867958. It was assigned to this organization in the NPPES registry on April 4, 2007.

Where is Pediatric Care Associates Of Connecticut located?

Pediatric Care Associates Of Connecticut is located at 25 Constitution Blvd. So Pedi-Care, Shelton, CT 06484. The listed phone number is (203) 924-7334.

What is Pediatric Care Associates Of Connecticut'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 Pediatric Care Associates Of Connecticut was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.