WEST HAVEN PEDIATRICS, LLC
NPI 1578095634
Clinic/Center - Primary Care in West Haven, CT

Active since March 29, 2017
367 ELM ST, 2ND FLOOR, WEST HAVEN, CT 06516(203) 932-3227 Get Directions Write a Review

NPPES record last updated: March 29, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About West Haven Pediatrics, Llc NPPES

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

WEST HAVEN PEDIATRICS, LLC (NPI 1578095634) is a healthcare organization registered as a primary care in West Haven, Connecticut and active in the NPI registry since March 2017. The organization lists Jobey Jacob, Owner/pediatrician, as its authorized official.

NPPES Registry Identity

NPI1578095634
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameWEST HAVEN PEDIATRICS, LLC
Location Address367 ELM ST, 2ND FLOORWest Haven, CT 06516-4217
Mailing Address367 Elm St, 2nd FloorWest Haven, CT 06516-4217 · (203) 932-3227
Organization SubpartNo
Authorized OfficialJobey JacobOwner/pediatrician · (203) 932-3227
Enumeration DateMarch 29, 2017
NPI 1578095634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License Licensed in CT · 049082
367 ELM ST, West Haven, CT 06516

Other Identifiers 2

Medicaid008061680CT
Medicaid008035471CT

Other Providers at the Same Location NPPES

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

Pediatrics
367 ELM ST
WEST HAVEN, CT 06516

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 West Haven Pediatrics, LLC's NPI number?

The NPI number for West Haven Pediatrics, LLC is 1578095634. It was assigned to this organization in the NPPES registry on March 29, 2017.

Where is West Haven Pediatrics, LLC located?

West Haven Pediatrics, LLC is located at 367 Elm St 2nd Floor, West Haven, CT 06516. The listed phone number is (203) 932-3227.

What is West Haven Pediatrics, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for West Haven Pediatrics, LLC was last updated on March 29, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.