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CANDLEWOOD VALLEY PEDIATRICS, P.C.
NPI 1811021066
Pediatrics in New Milford, CT

Active since March 16, 2007CLIA 07D0928032 · Waiver
120 PARK LANE RD STE A101, NEW MILFORD, CT 06776(860) 355-8190(860) 355-3856 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Candlewood Valley Pediatrics, P.c. NPPES

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

CANDLEWOOD VALLEY PEDIATRICS, P.C. (NPI 1811021066), doing business as Candlewood Valley Pediatrics, is a healthcare organization registered as a pediatrics in New Milford, Connecticut and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through May 6, 2027 and lists Marilyn C Decrescenzo, Managed Care Coordinator, as its authorized official.

NPPES Registry Identity

NPI1811021066
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameCANDLEWOOD VALLEY PEDIATRICS, P.C.
Location Address120 PARK LANE RD STE A101New Milford, CT 06776-2444
Mailing Address120 Park Lane Rd Ste A101New Milford, CT 06776-2444 · (860) 355-8190 · Fax (860) 355-3856
Phone(860) 355-8190
Fax(860) 355-3856
Organization SubpartNo
Authorized OfficialMarilyn C DecrescenzoManaged Care Coordinator · (860) 355-8190
Enumeration DateMarch 16, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1811021066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
120 PARK LANE RD STE A101, New Milford, CT 06776
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Other Names 1

Former Legal Business NameCandlewood Valley Pediatrics

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 07D0928032

Candlewood Valley Pediatrics · New Milford, CT
Active · expires May 6, 2027
CLIA Number07D0928032
Laboratory TypePhysician Office
Certificate Effective DateMay 7, 2025
Certificate Expiration DateMay 6, 2027
Laboratory DirectorEvan R. Hack
Laboratory Phone(860) 355-8190
Laboratory LocationCandlewood Valley Pediatrics120 Park Lane Suite A-101, New Milford, CT 06776
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

KARLA MARIE ROSATI PA-C
Pediatrics
120 PARK LANE RD STE A101
NEW MILFORD, CT 06776
Western Connecticut Planning Region (860) 355-8190

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 Candlewood Valley Pediatrics, P.C.'s NPI number?

The NPI number for Candlewood Valley Pediatrics, P.C. is 1811021066. It was assigned to this organization in the NPPES registry on March 16, 2007. The provider was formerly known as Candlewood Valley Pediatrics.

Where is Candlewood Valley Pediatrics, P.C. located?

Candlewood Valley Pediatrics, P.C. is located at 120 Park Lane Rd Ste A101, New Milford, CT 06776. The listed phone number is (860) 355-8190.

What is Candlewood Valley Pediatrics, P.C.'s specialty?

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

Does Candlewood Valley Pediatrics, P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 07D0928032) is associated with this NPI, valid through May 6, 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 Candlewood Valley Pediatrics, P.C. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.