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LIFESTYLE MEDICINE CENTER LLC
NPI 1578980736
Pediatrics in Stamford, CT

Active since March 26, 2014
2777 SUMMER ST, SUITE 604, STAMFORD, CT 06905(203) 614-8517(203) 614-8518 Get Directions Write a Review

NPPES record last updated: March 26, 2014. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Lifestyle Medicine Center Llc NPPES

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

LIFESTYLE MEDICINE CENTER LLC (NPI 1578980736) is a healthcare organization registered as a pediatrics in Stamford, Connecticut and active in the NPI registry since March 2014. The organization lists Madhu Mathur, Director, as its authorized official.

NPPES Registry Identity

NPI1578980736
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameLIFESTYLE MEDICINE CENTER LLC
Location Address2777 SUMMER ST, SUITE 604Stamford, CT 06905-4318
Mailing Address2777 Summer St, Suite 604Stamford, CT 06905-4318 · (203) 614-8517 · Fax (203) 614-8518
Phone(203) 614-8517
Fax(203) 614-8518
Organization SubpartNo
Authorized OfficialMadhu MathurDirector · (203) 614-8517
Enumeration DateMarch 26, 2014
✔ NPI 1578980736 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CT · 039624
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.
2777 SUMMER ST, Stamford, CT 06905
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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 5

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

FOUNDATIONS DEVELOPMENTAL AND BEHAVIORAL PEDIATRICS PLLC
Nurse Practitioner (Pediatrics)
2777 SUMMER ST
STAMFORD, CT 06905
Western Connecticut Planning Region (203) 479-0466
DR. MADHU MATHUR MD
Pediatrics
2777 SUMMER ST, STE 604
STAMFORD, CT 06905
Western Connecticut Planning Region (203) 614-8517
DR. SANDERS MARTIN STEIN M.D.
Psychiatry & Neurology (Psychiatry)
2777 SUMMER ST, SUITE 504B
STAMFORD, CT 06905
Western Connecticut Planning Region (230) 324-0082
DR. LARRY M ROSENBERG PH.D.
Psychologist (Clinical)
2777 SUMMER ST, SUITE 504B
STAMFORD, CT 06905
Western Connecticut Planning Region (203) 961-9933
DR. RONALD CRAIG NASO PH.D.
Psychologist (Clinical)
2777 SUMMER ST, SUITE 504B
STAMFORD, CT 06905
Western Connecticut Planning Region (203) 325-3661

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 Lifestyle Medicine Center LLC's NPI number?

The NPI number for Lifestyle Medicine Center LLC is 1578980736. It was assigned to this organization in the NPPES registry on March 26, 2014.

Where is Lifestyle Medicine Center LLC located?

Lifestyle Medicine Center LLC is located at 2777 Summer St Suite 604, Stamford, CT 06905. The listed phone number is (203) 614-8517.

What is Lifestyle Medicine Center LLC'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 Lifestyle Medicine Center LLC was last updated on March 26, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.