HAVERSTRAW PEDIATRICS NPI 1033248562

NPI Information

  • NPI: 1033248562
  • Provider Name: HAVERSTRAW PEDIATRICS
  • Classification: Pediatrics - 2080A0000X
  • Specialization: Adolescent Medicine
  • Entity Type: Organization
  • Address: 48 NEW MAIN ST
    HAVERSTRAW, NY
    ZIP 10927
  • Phone: (845) 429-3382

Map and Directions

Get Directions

NPI Details

HAVERSTRAW PEDIATRICS is an adolescent medicine pediatrics in Haverstraw, NY. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. HAVERSTRAW PEDIATRICS NPI is 1033248562. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

48 NEW MAIN ST
HAVERSTRAW, NY
ZIP 10927-812
Phone: (845) 429-3382
Fax: (845) 429-2057

The provider's authorized official is Vidhu Thaker .
The authorized official title is Partner and has the following contact phone number (845) 429-3382.

The enumeration date for this NPI number is 3/2/2007 and was last updated on 8/22/2020.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12080A0000XPediatricsAdolescent Medicine227354NEW YORKNo
22080A0000XPediatricsAdolescent Medicine109077NEW YORKNo
32080A0000XPediatricsAdolescent Medicine129096NEW YORKNo
42080A0000XPediatricsAdolescent Medicine136434NEW YORKYes

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: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI