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PEDIATRIC PARTNERS, LLC
NPI 1568805059
Pediatrics - Adolescent Medicine in Bloomfield, CT

Active since April 15, 2013CLIA 07D2064239 · Waiver
705 BLOOMFIELD AVE, SUITE 101, BLOOMFIELD, CT 06002(860) 286-0444(860) 286-0464 Get Directions Write a Review

NPPES record last updated: May 6, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Pediatric Partners, Llc NPPES

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

PEDIATRIC PARTNERS, LLC (NPI 1568805059) is a healthcare organization registered as an adolescent medicine in Bloomfield, Connecticut and active in the NPI registry since April 2013. The organization holds a CLIA Waiver certificate valid through August 15, 2027 and lists Scott M Kallor, Do / Owner, as its authorized official.

NPPES Registry Identity

NPI1568805059
Entity TypeOrganization
Primary Taxonomy2080A0000X
Legal Business NamePEDIATRIC PARTNERS, LLC
Location Address705 BLOOMFIELD AVE, SUITE 101Bloomfield, CT 06002-2479
Mailing Address705 Bloomfield Ave, Suite 101Bloomfield, CT 06002-2479 · (860) 286-0444 · Fax (860) 286-0464
Phone(860) 286-0444
Fax(860) 286-0464
Organization SubpartNo
Authorized OfficialScott M KallorDo / Owner · (860) 286-0444
Enumeration DateApril 15, 2013
Last NPPES UpdateMay 6, 2013
✔ NPI 1568805059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License✔ Licensed in CT · 042001
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.
705 BLOOMFIELD AVE, Bloomfield, CT 06002
Open in Google Maps ↗

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 07D2064239

Pediatric Partners, LLC · Bloomfield, CT
Active · expires Aug 15, 2027
CLIA Number07D2064239
Laboratory TypePhysician Office
Certificate Effective DateAugust 16, 2025
Certificate Expiration DateAugust 15, 2027
Laboratory DirectorJanice M. Lopez
Laboratory Phone(860) 286-0444
Laboratory LocationPediatric Partners, LLC705 Bloomfield Ave Suite 101, Bloomfield, CT 06002
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 6

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

CAROLYN RAND GANELES M.D.
Pediatrics
705 BLOOMFIELD AVE, SUITE 101
BLOOMFIELD, CT 06002
Capitol Planning Region (860) 286-0444
JANICE MARIE LOPEZ MD
Pediatrics
705 BLOOMFIELD AVE, SUITE 101
BLOOMFILED, CT 06002
Capitol Planning Region (860) 286-0444
SCOTT MICHAEL KALLOR D.O.
Pediatrics
705 BLOOMFIELD AVE, SUITE 101
BLOOMFIELD, CT 06002
Capitol Planning Region (860) 286-0444
MS. BETTY JOSEPH PT
Physical Therapist
705 BLOOMFIELD AVE, STE 101
BLOOMFIELD, CT 06002
Capitol Planning Region (860) 242-8427
RYAN MCINTYRE DPT
Physical Therapist
705 BLOOMFIELD AVE
BLOOMFIELD, CT 06002
Capitol Planning Region (860) 364-3001
RAFFAELLA PASCARELLA DPM
Podiatrist (Foot Surgery)
705 BLOOMFIELD AVE
BLOOMFIELD, CT 06002
Capitol Planning Region (860) 243-2951

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 Pediatric Partners, LLC's NPI number?

The NPI number for Pediatric Partners, LLC is 1568805059. It was assigned to this organization in the NPPES registry on April 15, 2013.

Where is Pediatric Partners, LLC located?

Pediatric Partners, LLC is located at 705 Bloomfield Ave Suite 101, Bloomfield, CT 06002. The listed phone number is (860) 286-0444.

What is Pediatric Partners, LLC's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Does Pediatric Partners, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 07D2064239) is associated with this NPI, valid through August 15, 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 Pediatric Partners, LLC was last updated on May 6, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.