OrganizationActive
Lifestyle Medicine Center LLC
NPI 1578980736 · Pediatrics Physician · Stamford, CT
Lifestyle Medicine Center LLC is a Pediatrics Physician organization in Stamford, CT (NPI 1578980736).
Provider details
- NPI number
- 1578980736
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Madhu Mathur, Director(203) 614-8517
- License
- 039624 (CT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
2777 Summer St
Suite 604
Stamford, CT 06905-4318
Phone: (203) 614-8517
Fax: (203) 614-8518
Street-level locationGet directions
Mailing address
2777 Summer St
Stamford, CT 06905-4318
Registry dates
- Enumerated
- 2014-03-26
- Last updated
- 2014-03-26
Frequently asked questions
- What is Lifestyle Medicine Center LLC's NPI number?
- Lifestyle Medicine Center LLC's National Provider Identifier (NPI) is 1578980736, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lifestyle Medicine Center LLC?
- Lifestyle Medicine Center LLC is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Lifestyle Medicine Center LLC located?
- Lifestyle Medicine Center LLC's practice location on file with NPPES is 2777 Summer St, Stamford, CT 06905-4318.
- What is Lifestyle Medicine Center LLC's phone number?
- The practice phone number listed in the NPPES registry for Lifestyle Medicine Center LLC is (203) 614-8517.
- Who is the authorized official for Lifestyle Medicine Center LLC?
- The authorized official listed on Lifestyle Medicine Center LLC's NPPES record is Madhu Mathur, Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lifestyle Medicine Center LLC's NPI active?
- Yes — Lifestyle Medicine Center LLC's NPI (1578980736) is active in the NPPES registry as of the last update on 2014-03-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.