MARYBETH PYTLIK ELLISON MD
NPI 1609034438
Pediatrics - Developmental - Behavioral Pediatrics in Essex, CT
NPI Status: Active since May 29, 2008
Contact Information
SUNFLOWER DEVELOPMENTAL PEDIATRICS
11 WILDWOOD MEDICAL CENTER
ESSEX, CT
ZIP 06426
Phone: (860) 365-9300
Fax: (860) 365-9300
- Individual
- Female
- Pediatrics
- Developmental - Behavioral Pediatrics
- PECOS Enrolled
About MARYBETH PYTLIK ELLISON
This page provides the complete NPI Profile along with additional information for Marybeth Pytlik Ellison, a pediatrician established in Essex, Connecticut with a medical specialization in Pediatrics, focusing in developmental - behavioral pediatrics . The healthcare provider is registered in the NPI registry with number 1609034438 assigned on May 2008. The practitioner's primary taxonomy code is 2080P0006X with license number 033211 (CT). The provider is registered as an individual and her NPI record was last updated 4 years ago.
- NPI
- 1609034438
- Provider Name
- MARYBETH PYTLIK ELLISON MD
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- SUNFLOWER DEVELOPMENTAL PEDIATRICS 11 WILDWOOD MEDICAL CENTER ESSEX, CT 06426
- Location Phone
- (860) 365-9300
- Location Fax
- (860) 365-9300
- Mailing Address
- 16 SURREY DR DURHAM, CT 06422
- Mailing Phone
- (860) 262-2462
- Mailing Fax
- (860) 365-9300
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 05-29-2008
- Last Update Date
- 10-05-2022
- Code Navigator
A pediatrician like Marybeth Pytlik Ellison is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Secondary Locations
- Yale Department of Pediatrics 15 York St
New Haven, CT 06510
(203) 785-4081
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics Developmental - Behavioral Pediatrics
- Taxonomy Code
- 2080P0006X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 033211
- License State
- CT
- Taxonomy Description
- A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | 033211 (CT) |
Medicare Participation & PECOS Enrollment Status
Marybeth Pytlik Ellison is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1609034438, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 62 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1609034438, enumerated as an "individual" on May 29, 2008.
The provider is located at SUNFLOWER DEVELOPMENTAL PEDIATRICS 11 WILDWOOD MEDICAL CENTER ESSEX, CT 06426 and the phone number is (860) 365-9300.
Pediatrics with taxonomy code 2080P0006X and a focus in Developmental - Behavioral Pediatrics.
