OrganizationActive
Pediatrics and Adolescent Medicine, P.C.
NPI 1033220108 · Pediatrics Physician · Orange, CT
Provider details
- NPI number
- 1033220108
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jonathan Charron, Practice Administrator(203) 795-4924
Specialties & taxonomies
Allopathic & Osteopathic Physicians
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
240 Indian River Rd
Suite B-1
Orange, CT 06477-3649
Phone: (203) 795-4924
Fax: (203) 799-1554
Street-level locationGet directions
Mailing address
240 Indian River Rd
Orange, CT 06477-3649
Registry dates
- Enumerated
- 2006-08-31
- Last updated
- 2011-10-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.