Active NPIOrganization

West Haven Pediatrics, LLC

Pediatrics in West Haven, Connecticut

NPI Number1104294644
Practice location
367 Elm St, West Haven, CT 06516-4217
Fax
203-931-2848
Last updated
December 24, 2015

West Haven Pediatrics, LLC is a healthcare organization based in West Haven, CT. West Haven Pediatrics, LLC practices in West Haven, CT. The NPI Number for West Haven Pediatrics, LLC is 1104294644. The current practice location address for West Haven Pediatrics, LLC is 367 Elm St, West Haven, CT 06516-4217 and can be reached out via phone at 203-932-3227 and via fax at 203-931-2848.

Provider Profile Details

NPI Number
1104294644
Provider Name
West Haven Pediatrics, LLC
Provider Entity Type
Organization
Address
367 Elm St, West Haven, CT 06516-4217
Phone Number
203-932-3227
Fax Number
203-931-2848
Primary Taxonomy
Pediatrics · 208000000X
Organization Subpart
No
Authorized Official
Dr. Jobey Jacob, MD · Owner · 203-932-3227
Provider Enumeration Date
September 14, 2015
Last Update Date
December 24, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
367 Elm St
West Haven, CT 06516-4217
Zip
06516-4217
Phone Number
203-932-3227
Fax Number
203-931-2848
West Haven, CT 06516Get directions →

Provider Business Mailing Address Details

Address
367 Elm St
West Haven, CT 06516-4217
City
West Haven
State
CT
Zip
06516-4217
Phone Number
203-932-3227
Fax Number
203-931-2848

License Information

Taxonomy (1)
Nurse Practitioner, Family · 363LF0000X
Taxonomy (2)
Nurse Practitioner, Pediatrics · 363LP0200X
Taxonomy (3)
Pediatrics · 208000000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of West Haven Pediatrics, LLC?

The NPI number of West Haven Pediatrics, LLC is 1104294644. It was assigned on September 14, 2015 and is currently active in the NPPES registry.

What is the specialty of West Haven Pediatrics, LLC?

West Haven Pediatrics, LLC is registered under the primary taxonomy Pediatrics (code 208000000X).

Where does West Haven Pediatrics, LLC practice?

The practice location is 367 Elm St, West Haven, CT 06516-4217. The office can be reached at 203-932-3227 (phone) or 203-931-2848 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104294644 directly on the NPPES registry website.

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