THE PEDIATRIC CARE CENTER, LLC
NPI 1902357163
Pediatrics in Bristol, CT

Active since October 21, 2016
1301 FARMINGTON AVE, BRISTOL, CT 06010(860) 589-4501(860) 589-4502 Get Directions Write a Review

NPPES record last updated: October 7, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Oct 7, 2020, Oct 21, 2016 (2 updates tracked since 2016).

About The Pediatric Care Center, Llc NPPES

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

THE PEDIATRIC CARE CENTER, LLC (NPI 1902357163) is a healthcare organization registered as a pediatrics in Bristol, Connecticut and active in the NPI registry since October 2016. The organization lists Susan Adeyinka, Owner, as its authorized official.

NPPES Registry Identity

NPI1902357163
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameTHE PEDIATRIC CARE CENTER, LLC
Location Address1301 FARMINGTON AVEBristol, CT 06010-4776
Mailing Address1301 Farmington AveBristol, CT 06010-4776 · (860) 589-4501 · Fax (860) 589-4502
Fax(860) 589-4502
Organization SubpartNo
Authorized OfficialSusan AdeyinkaOwner · (860) 589-4501
Enumeration DateOctober 21, 2016
Last NPPES UpdateOctober 7, 20202 updates tracked since enumeration
NPPES CertifiedOctober 7, 2020
NPI 1902357163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in CT · 038949
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.
1301 FARMINGTON AVE, Bristol, CT 06010

Other Identifiers 1

Medicaid1389495CT

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

Other Providers at the Same Location NPPES 8

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

Physician Assistant
1301 FARMINGTON AVE
BRISTOL, CT 06010
Nurse Practitioner (Pediatrics)
1301 FARMINGTON AVE
BRISTOL, CT 06010
Nurse Practitioner
1301 FARMINGTON AVE
BRISTOL, CT 06010
Nurse Practitioner (Family)
1301 FARMINGTON AVE
BRISTOL, CT 06010
Pediatrics
1301 FARMINGTON AVE
BRISTOL, CT 06010
Nurse Practitioner (Pediatrics)
1301 FARMINGTON AVE
BRISTOL, CT 06010
Clinic/Center (Adult Mental Health)
1301 FARMINGTON AVE
BRISTOL, CT 06010
Pediatrics
1301 FARMINGTON AVE
BRISTOL, CT 06010

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 The Pediatric Care Center, LLC's NPI number?

The NPI number for The Pediatric Care Center, LLC is 1902357163. It was assigned to this organization in the NPPES registry on October 21, 2016.

Where is The Pediatric Care Center, LLC located?

The Pediatric Care Center, LLC is located at 1301 Farmington Ave, Bristol, CT 06010. The listed phone number is (860) 589-4501.

What is The Pediatric Care Center, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for The Pediatric Care Center, LLC was last updated on October 7, 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.