MARIVIC D. BOTTA M.D. – NPI #1013055102
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

MARIVIC BOTTA is a physician located in TRUMBULL, CT. NPPES has assigned the NPI number 1013055102 to MARIVIC BOTTA on February 02, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was last updated on Jun 18, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MARIVIC BOTTA below.

NPI Profile for
MARIVIC D. BOTTA

NPI Number
1013055102
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
MARIVIC D. BOTTA
Credentials
M.D.
Primary location
15 CORPORATE DR
TRUMBULL, CT 06611-1351
Phone: (203) 452-8322 Fax:
Mailing address
100 BEARD SAWMILL RD
SHELTON, CT 06484-6150
Phone: (203) 452-8322 Fax: (203) 452-8326
Sole Proprietor
No
Updated
Certification Date
Jun 18, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for MARIVIC BOTTA

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherTAX ID#CT061319954
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208000000X
- Pediatrics (Primary)
CT 045299
174400000X
- Specialist
CT 045299

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.