OrganizationActive
East Avenue Pediatrics PC
NPI 1093092165 · Pediatrics Physician · Norwalk, CT
East Avenue Pediatrics PC is a Pediatrics Physician organization in Norwalk, CT (NPI 1093092165).
Provider details
- NPI number
- 1093092165
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Libia Rueda-Matik, Physician(203) 854-6993
- License
- 038173 (CT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
148 East Ave
Suite 1l
Norwalk, CT 06851-5721
Phone: (203) 854-6993
Fax: (203) 854-9227
Street-level locationGet directions
Mailing address
148 East Ave
Norwalk, CT 06851-5721
Registry dates
- Enumerated
- 2011-11-03
- Last updated
- 2011-11-03
Frequently asked questions
- What is East Avenue Pediatrics PC's NPI number?
- East Avenue Pediatrics PC's National Provider Identifier (NPI) is 1093092165, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is East Avenue Pediatrics PC?
- East Avenue Pediatrics PC is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is East Avenue Pediatrics PC located?
- East Avenue Pediatrics PC's practice location on file with NPPES is 148 East Ave, Norwalk, CT 06851-5721.
- What is East Avenue Pediatrics PC's phone number?
- The practice phone number listed in the NPPES registry for East Avenue Pediatrics PC is (203) 854-6993.
- Who is the authorized official for East Avenue Pediatrics PC?
- The authorized official listed on East Avenue Pediatrics PC's NPPES record is Libia Rueda-Matik, Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is East Avenue Pediatrics PC's NPI active?
- Yes — East Avenue Pediatrics PC's NPI (1093092165) is active in the NPPES registry as of the last update on 2011-11-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.