EASTSHORE PEDIATRICS
NPI 1508876103
Pediatrics in Milford, CT

Active since August 08, 2006
1556 NEW HAVEN AVE, MILFORD, CT 06460(203) 878-5941 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 11, 2025, Mar 7, 2023, Aug 22, 2020 (3 updates tracked since 2020).

About Eastshore Pediatrics NPPES

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

EASTSHORE PEDIATRICS (NPI 1508876103) is a healthcare organization registered as a pediatrics in Milford, Connecticut and active in the NPI registry since August 2006. The organization lists Jan Peter Fugal, Owner, as its authorized official.

NPPES Registry Identity

NPI1508876103
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameEASTSHORE PEDIATRICS
Location Address1556 NEW HAVEN AVEMilford, CT 06460-8220
Mailing Address1556 New Haven AveMilford, CT 06460-8220 · (203) 878-5941
Organization SubpartNo
Authorized OfficialJan Peter FugalOwner · (203) 878-5941
Enumeration DateAugust 8, 2006
Last NPPES UpdateSeptember 11, 20253 updates tracked since enumeration
NPI 1508876103 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 ListedInternal MedicineTaxonomy 207R00000X
1556 NEW HAVEN AVE, Milford, CT 06460

Other Identifiers 1

Other16917CT · Cds

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

Other Providers at the Same Location NPPES

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

Internal Medicine (Adolescent Medicine)
1556 NEW HAVEN AVE
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 Eastshore Pediatrics's NPI number?

The NPI number for Eastshore Pediatrics is 1508876103. It was assigned to this organization in the NPPES registry on August 8, 2006.

Where is Eastshore Pediatrics located?

Eastshore Pediatrics is located at 1556 New Haven Ave, Milford, CT 06460. The listed phone number is (203) 878-5941.

What is Eastshore Pediatrics's specialty?

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

When was this NPI record last updated?

The NPPES record for Eastshore Pediatrics was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.