LAUREL B. SHADER MD – NPI #1356445415
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.

LAUREL SHADER is a physician located in NEW HAVEN, CT. NPPES has assigned the NPI number 1356445415 to LAUREL SHADER on September 11, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. 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 previously updated about 17 years ago on Jan 29, 2009. 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 LAUREL SHADER below.

NPI Profile for
LAUREL B. SHADER

NPI Number
1356445415
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
LAUREL B. SHADER
Credentials
MD
Primary location
374 GRAND AVE
FAIR HAVEN COMMUNITY HEALTH CTR
NEW HAVEN, CT 06513
Phone: (203) 777-7411 Fax: (203) 777-8506
Mailing address
535 HOWELLTON ROAD
ORANGE, CT 06477
Phone: (203) 799-7961 Fax:
Sole Proprietor
No
Updated
Identifiers

Identifiers for LAUREL SHADER

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.

See identifiers
DescriptionIssuerStateIdentifier
OTHERAETNA US HEALTHCARE1051526
OTHERANTHEM BCBS010028282CT03
OTHERCIGNA5175619
OTHERCOMMUNITY HEALTH NETWORK004235736
OTHERCONNECTICARE0282829734
OTHEROXFORDP473785
MEDICAIDCT004235736
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 028282

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.

Additional Information

Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.