Provider Type Icon

DR MEDNIK MEDICAL PRACTICE PC NPI 1386035400


NPI Information

NPI: 1386035400
Provider Name: DR MEDNIK MEDICAL PRACTICE PC
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 33D2197189

Address:
8710 37TH AVE
JACKSON HEIGHTS, NY
ZIP 11372
Phone: (347) 254-8755
Get Directions

DR MEDNIK MEDICAL PRACTICE PC is a pediatrics in Jackson Heights, 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. DR MEDNIK MEDICAL PRACTICE PC NPI is 1386035400. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8710 37TH AVE
JACKSON HEIGHTS, NY
ZIP 11372-704
Phone: (347) 254-8755

The provider's authorized official is Karine Mednik .
The authorized official title is Md and has the following contact phone number (718) 907-0195.

The CLIA number assigned to this NPI record is 33D2197189 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/11/2015 and was last updated on 2/11/2015.


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
1208000000XPediatrics225521NEW YORKYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
102300392MEDICAIDNEW 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: 5/5/2024

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.