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SHORELINE PEDIATRICS & ADOLESCENT MEDICINE, P.C.
NPI 1538126941
Pediatrics - Adolescent Medicine in Madison, CT

Active since April 28, 2006
1110 DURHAM RD, MADISON, CT 06443(203) 421-3600(203) 421-3627 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shoreline Pediatrics & Adolescent Medicine, P.c. NPPES

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

SHORELINE PEDIATRICS & ADOLESCENT MEDICINE, P.C. (NPI 1538126941) is a healthcare organization registered as an adolescent medicine in Madison, Connecticut and active in the NPI registry since April 2006. The organization lists Edward H. Gleich, President, as its authorized official.

NPPES Registry Identity

NPI1538126941
Entity TypeOrganization
Primary Taxonomy2080A0000X
Legal Business NameSHORELINE PEDIATRICS & ADOLESCENT MEDICINE, P.C.
Location Address1110 DURHAM RDMadison, CT 06443-1858
Mailing Address1110 Durham RdMadison, CT 06443-1858 · (203) 421-3600 · Fax (203) 421-3627
Phone(203) 421-3600
Fax(203) 421-3627
Organization SubpartNo
Authorized OfficialEdward H. GleichPresident · (203) 421-3600
Enumeration DateApril 28, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1538126941 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.
1110 DURHAM RD, Madison, CT 06443
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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 8

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

AMY G GOLDEN PNP
Nurse Practitioner (Pediatrics)
1110 DURHAM RD
MADISON, CT 06443
South Central Connecticut Planning Region (203) 421-3600
MADISON ALAIA FUCCI
Nurse Practitioner (Family)
1110 DURHAM RD
MADISON, CT 06443
South Central Connecticut Planning Region (203) 421-3600
ERIN S. SPRINGHORN M.D.
Pediatrics (Adolescent Medicine)
1110 DURHAM RD
MADISON, CT 06443
South Central Connecticut Planning Region (203) 421-3600
KAREN Y GOLDBERG M.D.
Pediatrics (Adolescent Medicine)
1110 DURHAM RD
MADISON, CT 06443
South Central Connecticut Planning Region (203) 421-3600
BRUCE G FREEMAN MD
Pediatrics (Adolescent Medicine)
1110 DURHAM RD
MADISON, CT 06443
South Central Connecticut Planning Region (203) 421-3600
KAITLIN C QUALLEN MD
Pediatrics
1110 DURHAM RD
MADISON, CT 06443
South Central Connecticut Planning Region (203) 421-3600
DR. KIMBERLY ANNE PALMIERI M.D.
Pediatrics
1110 DURHAM RD
MADISON, CT 06443
South Central Connecticut Planning Region (203) 421-3600
MARY ELIZABETH WHALEN
Occupational Therapy Assistant
1110 DURHAM RD
MADISON, CT 06443
South Central Connecticut Planning Region (203) 751-7182

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 Shoreline Pediatrics & Adolescent Medicine, P.C.'s NPI number?

The NPI number for Shoreline Pediatrics & Adolescent Medicine, P.C. is 1538126941. It was assigned to this organization in the NPPES registry on April 28, 2006.

Where is Shoreline Pediatrics & Adolescent Medicine, P.C. located?

Shoreline Pediatrics & Adolescent Medicine, P.C. is located at 1110 Durham Rd, Madison, CT 06443. The listed phone number is (203) 421-3600.

What is Shoreline Pediatrics & Adolescent Medicine, P.C.'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 Shoreline Pediatrics & Adolescent Medicine, P.C. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.