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

New Haven Pediatric & Adolescent Medical Serv

Organization Pediatrics Physician · NPI 1962680934

New Haven Pediatric & Adolescent Medical Serv is a Pediatrics Physician in New Haven, Connecticut. Licensed in Connecticut. Registered with an NPI since 2008.

Licensed in
CT
In the registry since
2008
Specialties on file
2

Practice location Address checks out

1423 Chapel St Unit 2B
New Haven, CT 06511
Phone: (203) 752-0706
Fax: (203) 772-0387
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 0136872 (CT)
Pediatric Nurse Practitioner Taxonomy 363LP0200X · Licence 0002815 (CT)

Record details

NPI number1962680934
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Angel Jackson — Office Manager · (203) 906-3854
Other names Tamiko V Jackson Md
NPI enumeratedFebruary 1, 2008
Last updated in NPPESFebruary 1, 2008
Mailing address1423 Chapel St, Unit 2b, New Haven, CT 06511

Other providers in New Haven