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FRED E SANTORO M.D.
NPI 1639269970
Pediatrics in East Lyme, CT

Active since October 16, 2006CLIA 07D0690995 · Microscopy
15 CHESTERFIELD RD, FLANDERS PLAZA, SUITE 214, EAST LYME, CT 06333(860) 739-0404(860) 739-1881 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Fred E Santoro M.d. NPPES

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

FRED E SANTORO M.D. (NPI 1639269970) is an individual pediatrics provider in East Lyme, Connecticut, licensed in Connecticut (029410) and active in the NPI registry since October 2006. He holds a CLIA Microscopy certificate valid through August 31, 2026.

NPPES Registry Identity

NPI1639269970
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameFRED E SANTOROCredential: M.D.
Location Address15 CHESTERFIELD RD, FLANDERS PLAZA, SUITE 214East Lyme, CT 06333-1730
Mailing Address15 Chesterfield Rd, Po Box 159East Lyme, CT 06333-1730 · (860) 739-0404 · Fax (860) 739-1881
Phone(860) 739-0404
Fax(860) 739-1881
Sole ProprietorYes
Enumeration DateOctober 16, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1639269970 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CT · 029410
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.
15 CHESTERFIELD RD, East Lyme, CT 06333
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Other Identifiers 6

Other029410Connecticare
Other01029410Cigna
Other504764Aetna
Other031515Healthnet
Other010029410CT02Blue Cross/blue Shied
OtherNLP070Oxford

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 for Provider-Performed Microscopy Procedures (PPMP) 07D0690995

Fred E Santoro MD Faap · East Lyme, CT
Active · expires Aug 31, 2026
CLIA Number07D0690995
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorFred E. Santoro MD
Laboratory Phone(860) 739-0404
Laboratory LocationFred E Santoro MD FaapFlanders Plaza Ste 214 PO Box 159, East Lyme, CT 06333
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 13

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

CHRISTOPHER ZBIGNIEW LACHOWSKI D.C.
Chiropractor
15 CHESTERFIELD RD, SUITE 206
EAST LYME, CT 06333
Southeastern Connecticut Planning Region (869) 739-6259
MS. ARLENE HAVENS MSW
Social Worker (Clinical)
15 CHESTERFIELD RD
EAST LYME, CT 06333
Southeastern Connecticut Planning Region (860) 691-1880
BRIAN MARK POCHAL
Pharmacist
15 CHESTERFIELD RD
EAST LYME, CT 06333
Southeastern Connecticut Planning Region (860) 739-0276
DR. CHRIS APICELLI OD
Optometrist
15 CHESTERFIELD RD
EAST LYME, CT 06333
Southeastern Connecticut Planning Region (860) 739-5110
CONNECTICUT CVS PHARMACY, LLC
Pharmacy
15 CHESTERFIELD RD
EAST LYME, CT 06333
Southeastern Connecticut Planning Region (860) 739-0276
KELLY MAZZULLI
Pharmacist
15 CHESTERFIELD RD
EAST LYME, CT 06333
Southeastern Connecticut Planning Region (860) 287-7877
KERRIE WINFREY
Pharmacist
15 CHESTERFIELD RD
EAST LYME, CT 06333
Southeastern Connecticut Planning Region (860) 739-0276
DR. JAMES EDWARD ROBSON D.D.S.
Dentist (General Practice)
15 CHESTERFIELD RD, SUITE 208
EAST LYME, CT 06333
Southeastern Connecticut Planning Region (860) 739-3881

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 Fred Santoro's NPI number?

The NPI number for Fred Santoro is 1639269970. It was assigned to this individual provider in the NPPES registry on October 16, 2006.

Where is Fred Santoro located?

Fred Santoro practices at 15 Chesterfield Rd Flanders Plaza, Suite 214, East Lyme, CT 06333. The listed phone number is (860) 739-0404.

What is Fred Santoro's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Fred Santoro hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 07D0690995) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Fred Santoro was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.