EXTRAORDINARY PEDIATRICS PC NPI 1487817250

NPI Information

  • NPI: 1487817250
  • Provider Name: EXTRAORDINARY PEDIATRICS, PC
  • Classification: Pediatrics - 2080P0006X
  • Specialization: Developmental - Behavioral Pediatrics
  • Entity Type: Organization
  • Address: 5 DAKOTA DR STE 200
    NEW HYDE PARK, NY
    ZIP 11042
  • Phone: (516) 621-2681

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NPI Details

EXTRAORDINARY PEDIATRICS, PC is a developmental - behavioral pediatrics pediatrics in New Hyde Park, NY. The provider is a developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development. EXTRAORDINARY PEDIATRICS, PC NPI is 1487817250. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5 DAKOTA DR STE 200
NEW HYDE PARK, NY
ZIP 11042-109
Phone: (516) 621-2681
Fax: (516) 621-2403

The provider's authorized official is Beata Jalowski .
The authorized official title is Revenue Cycle Manager and has the following contact phone number (718) 819-2830.

The enumeration date for this NPI number is 7/2/2008 and was last updated on 6/27/2023.

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
1103K00000XBehavior AnalystNo
2106S00000XBehavior TechnicianNo
3208000000XPediatricsNo
4246Q00000XSpecialist/Technologist, PathologyNo
5251E00000XHome HealthNEW YORKNo
62080P0006XPediatricsDevelopmental - Behavioral PediatricsYes

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

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