MR. JACQUES EDOUARD ETIENNE M.D., F.A.A.P
NPI 1902836976
Pediatrics in Danbury, CT

Q: What is Jacques Etienne's NPI number?

The NPI number for Jacques Etienne is 1902836976. It was assigned to this individual provider in the NPPES registry on July 4, 2006.

Q: What is Jacques Etienne's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jacques Etienne was last updated on May 11, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since July 04, 2006

205 MAIN ST. 1ST FL, OPTIMUM MEDICAL LLC, DANBURY, CT 06810(203) 794-9000(203) 794-9005 Get Directions Write a Review

NPPES record last updated: May 11, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mr. Jacques Edouard Etienne M.d., F.a.a.p NPPES

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

MR. JACQUES EDOUARD ETIENNE M.D., F.A.A.P (NPI 1902836976) is an individual pediatrics provider in Danbury, Connecticut, licensed in Connecticut (042829) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1902836976

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameMR. JACQUES EDOUARD ETIENNECredential: M.D., F.A.A.P

Location Address205 MAIN ST. 1ST FL, OPTIMUM MEDICAL LLCDanbury, CT 06810

Mailing Address205 Main St. 1st Fl, Optimum Medical LlcDanbury, CT 06810 · (203) 794-9000 · Fax (203) 794-9005

Phone(203) 794-9000

Fax(203) 794-9005

Sole ProprietorYes

Enumeration DateJuly 4, 2006

Last NPPES UpdateMay 11, 2011

✔ NPI 1902836976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in CT · 042829✔ Licensed in NY · 233345-1

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.

205 MAIN ST. 1ST FL, Danbury, CT 06810

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Other Identifiers 1

Medicaid008023919CT

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 Jacques Etienne's NPI number?

The NPI number for Jacques Etienne is 1902836976. It was assigned to this individual provider in the NPPES registry on July 4, 2006.

Where is Jacques Etienne located?

Jacques Etienne practices at 205 Main St. 1st Fl Optimum Medical LLC, Danbury, CT 06810. The listed phone number is (203) 794-9000.

What is Jacques Etienne'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 Jacques Etienne was last updated on May 11, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.