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CHILD & ADOLESCENT HEALTH CARE
NPI 1497937411
Pediatrics in Waterbury, CT

Active since November 30, 2007CLIA 07D0100149 · Waiver
179 ROSELAND AVE, WATERBURY, CT 06710(203) 574-4747(203) 574-2251 Get Directions Write a Review

NPPES record last updated: March 30, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Child & Adolescent Health Care NPPES

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

CHILD & ADOLESCENT HEALTH CARE (NPI 1497937411) is a healthcare organization registered as a pediatrics in Waterbury, Connecticut and active in the NPI registry since November 2007. The organization holds a CLIA Waiver certificate valid through September 29, 2026 and lists Jane Rudolph, Owner, as its authorized official.

NPPES Registry Identity

NPI1497937411
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameCHILD & ADOLESCENT HEALTH CARE
Location Address179 ROSELAND AVEWaterbury, CT 06710
Mailing Address179 Roseland AveWaterbury, CT 06710 · (203) 574-4747 · Fax (203) 574-2251
Phone(203) 574-4747
Fax(203) 574-2251
Organization SubpartNo
Authorized OfficialJane RudolphOwner · (203) 574-4747
Enumeration DateNovember 30, 2007
Last NPPES UpdateMarch 30, 2012
✔ NPI 1497937411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CT · 000431
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.
179 ROSELAND AVE, Waterbury, CT 06710
Open in Google Maps ↗

Other Identifiers 1

Medicaid4049987CT

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 Waiver 07D0100149

Child & Adolescent Healthcare Assoc · Waterbury, CT
Active · expires Sep 29, 2026
CLIA Number07D0100149
Laboratory TypePhysician Office
Certificate Effective DateSeptember 30, 2024
Certificate Expiration DateSeptember 29, 2026
Laboratory DirectorJane E. Rudolph
Laboratory Phone(203) 574-4747
Laboratory LocationChild & Adolescent Healthcare Assoc179 Roseland Ave, Waterbury, CT 06710
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

ANDREA DOUYARD PA C
Physician Assistant
179 ROSELAND AVE
WATERBURY, CT 06710
Naugatuck Valley Planning Region (203) 574-4747
CHRISTINE MAFFEO-ANTON MD
Pediatrics
179 ROSELAND AVE
WATERBURY, CT 06710
Naugatuck Valley Planning Region (203) 574-4747
AISHA ANGELA DAVIS MD
Pediatrics
179 ROSELAND AVE
WATERBURY, CT 06710
Naugatuck Valley Planning Region (475) 323-6601
MRS. ADRIANE GUERIN PA C
Physician Assistant
179 ROSELAND AVE
WATERBURY, CT 06710
Naugatuck Valley Planning Region (203) 574-4747
TAMAR H EDELKIND PNP PEDIACTRIC NURSE
Nurse Practitioner (Pediatrics)
179 ROSELAND AVE
WATERBURY, CT 06710
Naugatuck Valley Planning Region (203) 574-4747
JANE ELIZABETH RUDOLPH MD
Pediatrics
179 ROSELAND AVE
WATERBURY, CT 06710
Naugatuck Valley Planning Region (203) 574-4747

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 Child & Adolescent Health Care's NPI number?

The NPI number for Child & Adolescent Health Care is 1497937411. It was assigned to this organization in the NPPES registry on November 30, 2007.

Where is Child & Adolescent Health Care located?

Child & Adolescent Health Care is located at 179 Roseland Ave, Waterbury, CT 06710. The listed phone number is (203) 574-4747.

What is Child & Adolescent Health Care's specialty?

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

Does Child & Adolescent Health Care hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 07D0100149) is associated with this NPI, valid through September 29, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Child & Adolescent Health Care was last updated on March 30, 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.