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MEDIKIDS PEDIATRICS MEDICINE II PLLC NPI 1164613857


NPI Information

NPI: 1164613857
Provider Name: MEDIKIDS PEDIATRICS MEDICINE II PLLC
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 33D1015573

Address:
320 E 188TH ST
BRONX, NY
ZIP 10458
Phone: (718) 220-2804
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MEDIKIDS PEDIATRICS MEDICINE II PLLC is a pediatrics in Bronx, NY. The provider is 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. MEDIKIDS PEDIATRICS MEDICINE II PLLC NPI is 1164613857. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

320 E 188TH ST
BRONX, NY
ZIP 10458-402
Phone: (718) 220-2804
Fax: (718) 220-5321

The provider's authorized official is Marcial Jimenez .
The authorized official title is Pediatrician and has the following contact phone number (718) 220-2804.

The CLIA number assigned to this NPI record is 33D1015573 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/7/2007 and was last updated on 6/13/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
102218124MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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