Healthcare Provider Details

I. General information

NPI: 1881945251
Provider Name (Legal Business Name): CHURCH HILL PEDIATRICS AND ADOLESCENTS MEDICINE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2012
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32 CHURCH HILL RD SUITE 200
NEWTOWN CT
06470-1648
US

IV. Provider business mailing address

32 CHURCH HILL RD SUITE 200
NEWTOWN CT
06470-1648
US

V. Phone/Fax

Practice location:
  • Phone: 203-426-5437
  • Fax: 203-426-2100
Mailing address:
  • Phone: 203-426-5437
  • Fax: 203-426-2100

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number001501
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number037535
License Number StateCT
# 3
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number042702
License Number StateCT

VIII. Authorized Official

Name: DR. RICHARD J AUERBACH
Title or Position: MEMBER, AUERBACH PEDIATRICS, LLC
Credential: MD
Phone: 203-426-5437