MILFORD PEDIATRIC GROUP, PC
NPI 1407975675
Specialist in Milford, CT

Active since March 28, 2007CLIA Certified · 2 labs
50 COMMERCE PARK, MILFORD, CT 06460(203) 882-2066(203) 882-2074 Get Directions Write a Review

NPPES record last updated: July 5, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Milford Pediatric Group, Pc NPPES

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

MILFORD PEDIATRIC GROUP, PC (NPI 1407975675) is a healthcare organization registered as a specialist in Milford, Connecticut and active in the NPI registry since March 2007. The organization holds 2 active CLIA laboratory certificates and lists Jeffrey Gruskay, Pres., as its authorized official.

NPPES Registry Identity

NPI1407975675
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameMILFORD PEDIATRIC GROUP, PC
Location Address50 COMMERCE PARKMilford, CT 06460-3565
Mailing Address50 Commerce ParkMilford, CT 06460-3565 · (203) 882-2066 · Fax (203) 882-2074
Fax(203) 882-2074
Organization SubpartNo
Authorized OfficialJeffrey GruskayPres. · (203) 882-2066
Enumeration DateMarch 28, 2007
Last NPPES UpdateJuly 5, 2023
NPPES CertifiedJuly 5, 2023
NPI 1407975675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in CT · 001279
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.
50 COMMERCE PARK, Milford, CT 06460

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 2

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 07D0698130

Milford Pediatric Group · Milford, CT
Active · expires Jun 25, 2027
CLIA Number07D0698130
Laboratory TypePhysician Office
Certificate Effective DateJune 26, 2025
Certificate Expiration DateJune 25, 2027
Laboratory DirectorHarry Kipperman
Laboratory Phone(203) 882-2066
Laboratory LocationMilford Pediatric Group50 Commerce Park, Milford, CT 06460
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.

Certificate of Compliance 07D0902455

Milford Pediatric Group · Milford, CT
Active · expires Feb 17, 2028
CLIA Number07D0902455
Laboratory TypePhysician Office
Certificate Effective DateFebruary 18, 2026
Certificate Expiration DateFebruary 17, 2028
Laboratory DirectorHarry Kipperman
Laboratory Phone(203) 882-2066
Laboratory LocationMilford Pediatric GroupOne Golden Hill, Milford, CT 06460
CLIA data matches this NPI record on: 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 9

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

Pediatrics
50 COMMERCE PARK
MILFORD, CT 06460
Nurse Practitioner (Pediatrics)
50 COMMERCE PARK
MILFORD, CT 06460
Pediatrics (Neonatal-Perinatal Medicine)
50 COMMERCE PARK
MILFORD, CT 06460
Nurse Practitioner (Pediatrics)
50 COMMERCE PARK
MILFORD, CT 06460
Nurse Practitioner (Pediatrics)
50 COMMERCE PARK
MILFORD, CT 06460
Pediatrics
50 COMMERCE PARK
MILFORD, CT 06460
Pediatrics
50 COMMERCE PARK
MILFORD, CT 06460
Pediatrics
50 COMMERCE PARK
MILFORD, CT 06460

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 Milford Pediatric Group, PC's NPI number?

The NPI number for Milford Pediatric Group, PC is 1407975675. It was assigned to this organization in the NPPES registry on March 28, 2007.

Where is Milford Pediatric Group, PC located?

Milford Pediatric Group, PC is located at 50 Commerce Park, Milford, CT 06460. The listed phone number is (203) 882-2066.

What is Milford Pediatric Group, PC's specialty?

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

Does Milford Pediatric Group, PC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Milford Pediatric Group, PC was last updated on July 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.