NPI Portal NPI Lookup & Verification

Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Modern Era Pediatric Practice

Pediatric Adolescent Medicine Physician in Bridgeport, CT · enumerated 2006 · authorized official Anselm Anyoha, Medical Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1194817460

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)
Legal business name Modern Era Pediatric Practice
Practice address 3715 Main St, Suite 403, Bridgeport, CT, 06606
Fax (203) 371-4900
Enumeration date Sep 28, 2006
Last updated in NPPES Nov 9, 2012

Taxonomy & classification

2080A0000X Pediatric Adolescent Medicine Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Anselm Anyoha
Title Medical Director

Other identifiers

Identifier Type State Issuer
001352799 Medicaid CT -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Modern Era Pediatric Practice?
Modern Era Pediatric Practice is registered in NPPES as a Pediatric Adolescent Medicine Physician (its primary provider taxonomy).

Providers at this address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-11-09.