APPLESEED PEDIATRIC AND ADOLESCENT MEDICINE
NPI 1407422934
Pediatrics in Middletown, CT

Q: What is Appleseed Pediatric And Adolescent Medicine's specialty?

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

Active since June 03, 2021CLIA 07D2229185 · Waiver

80 E MAIN ST, MIDDLETOWN, CT 06457(860) 200-1465(860) 200-3378 Get Directions Write a Review

NPPES record last updated: June 3, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Appleseed Pediatric And Adolescent Medicine NPPES

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

APPLESEED PEDIATRIC AND ADOLESCENT MEDICINE (NPI 1407422934) is a healthcare organization registered as a pediatrics in Middletown, Connecticut and active in the NPI registry since June 2021. The organization holds a CLIA Waiver certificate valid through July 7, 2027 and lists Nichole Lynn Kycia, Owner, as its authorized official.

NPPES Registry Identity

NPI1407422934

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameAPPLESEED PEDIATRIC AND ADOLESCENT MEDICINE

Location Address80 E MAIN STMiddletown, CT 06457-3840

Mailing Address80 E Main StMiddletown, CT 06457-3840 · (860) 200-1465 · Fax (860) 200-3378

Phone(860) 200-1465

Fax(860) 200-3378

Organization SubpartNo

Authorized OfficialNichole Lynn KyciaOwner · (860) 558-3177

Enumeration DateJune 3, 2021

NPPES CertifiedJune 3, 2021

✔ NPI 1407422934 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.

80 E MAIN ST, Middletown, CT 06457

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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

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 07D2229185

Appleseed Pediatric And Adolescent Medicine · Middletown, CT

Active · expires Jul 7, 2027

CLIA Number07D2229185

Laboratory TypePhysician Office

Certificate Effective DateJuly 8, 2025

Certificate Expiration DateJuly 7, 2027

Laboratory DirectorSusan Glasser

Laboratory Phone(860) 200-1465

Laboratory LocationAppleseed Pediatric And Adolescent Medicine80 East Main St, Middletown, CT 06457

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

MIDDLESEX RHEUMATOLOGY, LLC

Internal Medicine (Rheumatology)

80 E MAIN ST
MIDDLETOWN, CT 06457

Lower Connecticut River Valley Planning Region (860) 852-0304

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 Appleseed Pediatric And Adolescent Medicine's NPI number?

The NPI number for Appleseed Pediatric And Adolescent Medicine is 1407422934. It was assigned to this organization in the NPPES registry on June 3, 2021.

Where is Appleseed Pediatric And Adolescent Medicine located?

Appleseed Pediatric And Adolescent Medicine is located at 80 E Main St, Middletown, CT 06457. The listed phone number is (860) 200-1465.

What is Appleseed Pediatric And Adolescent Medicine's specialty?

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

Does Appleseed Pediatric And Adolescent Medicine hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 07D2229185) is associated with this NPI, valid through July 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Appleseed Pediatric And Adolescent Medicine was last updated on June 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.