Town and Country Pediatrics and Family Medicine, P.C.
NPI 1942414081ActiveOrganization· Pediatrics· Watertown, CT
Pediatrics in Watertown, Connecticut, registered in NPPES in May 2007. The authorized official on file is Jacqueline O. Lustig, D.O., President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1942414081 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 9, 2007 |
| Last updated in NPPES | Dec 12, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Primary | 208000000X | 035903 | CT |
| Family Medicine | 207Q00000X | 041948 | CT |
| Nurse Practitioner, Pediatrics | 363LP0200X | 001457 | CT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CT) |
|---|
Other Pediatrics providers in Watertown
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