IndividualActive
Marivic Botta, M.D.
NPI 1013055102 · Pediatrics Physician · Trumbull, CT
Provider details
- NPI number
- 1013055102
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 045299 (CT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Other Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
15 Corporate Dr
Trumbull, CT 06611-1351
Phone: (203) 452-8322
Street-level locationGet directions
Mailing address
100 Beard Sawmill Rd
Shelton, CT 06484-6150
Registry dates
- Enumerated
- 2007-02-02
- Last updated
- 2024-06-18
- Certified
- 2024-06-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.