RIVER VALLEY PEDIATRICS AND ADOLESCENT MEDICINE
NPI 1639660194
Clinic/Center - Primary Care in Chester, CT

Active since May 21, 2018
20 WATER ST, CHESTER, CT 06412(401) 490-1289 Get Directions Write a Review

NPPES record last updated: August 17, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 17, 2018, May 21, 2018 (2 updates tracked since 2018).

About River Valley Pediatrics And Adolescent Medicine NPPES

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

RIVER VALLEY PEDIATRICS AND ADOLESCENT MEDICINE (NPI 1639660194) is a healthcare organization registered as a primary care in Chester, Connecticut and active in the NPI registry since May 2018. The organization lists Elizabeth Madeline Bird, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1639660194
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameRIVER VALLEY PEDIATRICS AND ADOLESCENT MEDICINE
Location Address20 WATER STChester, CT 06412
Mailing Address2 Deep Hollow RdChester, CT 06412-1112 · (860) 532-0525 · Fax (860) 483-5134
Organization SubpartNo
Authorized OfficialElizabeth Madeline BirdMedical Director · (860) 532-0525
Enumeration DateMay 21, 2018
Last NPPES UpdateAugust 17, 20182 updates tracked since enumeration
NPI 1639660194 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 · 53136
20 WATER ST, Chester, CT 06412

Other Identifiers 1

Medicaid008080251CT

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Pediatrics
20 WATER ST
CHESTER, CT 06412

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639660194, enumerated as an "organization" on May 21, 2018.

The provider is located at 20 WATER ST CHESTER, CT 06412 and the phone number is (401) 490-1289.

Clinic/Center with taxonomy code 261QP2300X and a focus in Primary Care.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.