New Haven Pediatric & Adolescent Medical Serv
NPI 1962680934ActiveOrganization· Pediatrics· New Haven, CT
Pediatrics in New Haven, Connecticut, registered in NPPES in February 2008. The authorized official on file is Angel Jackson, Office Manager.
Overview
| NPI | 1962680934 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 1, 2008 |
| Last updated in NPPES | Feb 1, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Primary | 208000000X | 0136872 | CT |
| Nurse Practitioner, Pediatrics | 363LP0200X | 0002815 | 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 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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