Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

East Avenue Pediatrics PC

Organization Pediatrics Physician · NPI 1093092165

East Avenue Pediatrics PC provides Pediatrics Physician services in Norwalk, Connecticut. Licensed in Connecticut. Registered with an NPI since 2011.

Licensed in
CT
In the registry since
2011
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

148 E Ave Ste 1L
Norwalk, CT 06851-5721 Not confirmed with CMS for 14 years — call before visiting
Phone: (203) 854-6993
Fax: (203) 854-9227
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 038173 (CT)

Record details

NPI number1093092165
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Libia Rueda-Matik — Physician · (203) 854-6993
NPI enumeratedNovember 3, 2011
Last updated in NPPESNovember 3, 2011
Mailing address148 East Ave, Suite 1l, Norwalk, CT 06851-5721

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