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BAKER PEDIATRICS, LLC
NPI 1760238489
Pediatrics in Trumbull, CT

Active since April 24, 2024CLIA 07D2068513 · Waiver
4141 MADISON AVE, TRUMBULL, CT 06611(203) 371-8790(203) 373-0463 Get Directions Write a Review

NPPES record last updated: July 9, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 9, 2024, Jun 24, 2024, Jun 19, 2024 and 1 more (4 updates tracked since 2024).

About Baker Pediatrics, Llc NPPES

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

BAKER PEDIATRICS, LLC (NPI 1760238489) is a healthcare organization registered as a pediatrics in Trumbull, Connecticut and active in the NPI registry since April 2024. The organization holds a CLIA Waiver certificate valid through November 4, 2027 and lists Kathryn A. Baker, Do/owner, as its authorized official.

NPPES Registry Identity

NPI1760238489
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameBAKER PEDIATRICS, LLC
Location Address4141 MADISON AVETrumbull, CT 06611-3506
Mailing Address4141 Madison AveTrumbull, CT 06611-3506 · (203) 371-8790 · Fax (203) 373-0463
Phone(203) 371-8790
Fax(203) 373-0463
Organization SubpartNo
Authorized OfficialKathryn A. BakerDo/owner · (203) 371-8790
Enumeration DateApril 24, 2024
Last NPPES UpdateJuly 9, 20244 updates tracked since enumeration
NPPES CertifiedJuly 9, 2024
✔ NPI 1760238489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
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.

Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
4141 MADISON AVE, Trumbull, CT 06611
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Other Identifiers 3

Medicaid1821357039CT
Medicaid1164864005CT
Medicaid1447224241CT

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

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 of Waiver 07D2068513

Baker Pediatrics, LLC · Trumbull, CT
Active · expires Nov 4, 2027
CLIA Number07D2068513
Laboratory TypePhysician Office
Certificate Effective DateNovember 5, 2025
Certificate Expiration DateNovember 4, 2027
Laboratory DirectorCheryl L. Maloney
Laboratory Phone(203) 371-8790
Laboratory LocationBaker Pediatrics, LLC4141 Madison Ave, Trumbull, CT 06611
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

MRS. MARNIE B. FREY APRN
Nurse Practitioner (Pediatrics)
4141 MADISON AVE
TRUMBULL, CT 06611
Greater Bridgeport Planning Region (203) 371-8790
DR. KATHRYN A BAKER D.O.
Pediatrics
4141 MADISON AVE
TRUMBULL, CT 06611
Greater Bridgeport Planning Region (203) 371-8790
DR. MARY C FRAGA M.D.
Pediatrics
4141 MADISON AVE
TRUMBULL, CT 06611
Greater Bridgeport Planning Region (203) 371-8790

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 Baker Pediatrics, LLC's NPI number?

The NPI number for Baker Pediatrics, LLC is 1760238489. It was assigned to this organization in the NPPES registry on April 24, 2024.

Where is Baker Pediatrics, LLC located?

Baker Pediatrics, LLC is located at 4141 Madison Ave, Trumbull, CT 06611. The listed phone number is (203) 371-8790.

What is Baker Pediatrics, LLC's specialty?

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

Does Baker Pediatrics, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 07D2068513) is associated with this NPI, valid through November 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Baker Pediatrics, LLC was last updated on July 9, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.