PEDIATRIC HEART SPECIALISTS LLC NPI 1376850081

NPI Information

NPI: 1376850081
Provider Name: PEDIATRIC HEART SPECIALISTS, LLC
Classification: Pediatrics - 2080P0202X
Entity Type: Organization

Specialization: Pediatric Cardiology

Address:
107 CHURCH HILL RD
SUITE 1A
SANDY HOOK, CT
ZIP 06482
Phone: (203) 426-0225
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PEDIATRIC HEART SPECIALISTS, LLC is a pediatric cardiology pediatrics in Sandy Hook, CT. The provider is a pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. PEDIATRIC HEART SPECIALISTS, LLC NPI is 1376850081. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

107 CHURCH HILL RD
SUITE 1A
SANDY HOOK, CT
ZIP 06482-108
Phone: (203) 426-0225
Fax: (203) 426-0249

The provider's authorized official is Richard A Berning .
The authorized official title is PHYSICIAN OWNEROwner and has the following contact phone number (203) 426-0225.

The enumeration date for this NPI number is 9/2/2010 and was last updated on 9/2/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2080P0202X	Pediatrics	Pediatric Cardiology	034959	CONNECTICUT	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3V6335	OTHER	CONNECTICUT	HEALTHNET NORTHEAST
2	753985	OTHER	CONNECTICUT	CONNECTICARE
3	001349598	MEDICAID	CONNECTICUT
4	010034959CT12	OTHER	CONNECTICUT	ANTHEM BLUE CROSS
5	P3399905	OTHER	CONNECTICUT	OXFORD UNITED HEALTHCARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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