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Kids Station Pediatrics

Pediatric Adolescent Medicine Physician in Manchester, CT · enumerated 2007 · authorized official Donald Mordavsky, Ceo.

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

National Provider Identifier

1417153677

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Registry record

Entity type Organization (Type 2)
Legal business name Kids Station Pediatrics
Practice address 191 Main St, Manchester, CT, 06042
Phone (860) 643-7973
Fax (860) 643-0175
Enumeration date Jun 25, 2007
Last updated in NPPES Oct 8, 2013

Taxonomy & classification

2080A0000X Pediatric Adolescent Medicine Physician Allopathic & Osteopathic Physicians Primary
363LP0200X Pediatric Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Donald Mordavsky
Title Ceo
Phone (860) 643-7973

Other identifiers

Identifier Type State Issuer
004132651 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.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2013-10-08. Verify at npiregistry.cms.hhs.gov.
Where is Kids Station Pediatrics located?
The practice location on file with NPPES is in Manchester, CT.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-10-08.