JEROME PEDIATRIC P.C NPI 1497078554

NPI Information

NPI: 1497078554
Provider Name: JEROME PEDIATRIC P.C
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 33D1107327

Address:
2386 JEROME AVE
BRONX, NY
ZIP 10468
Phone: (718) 220-1771
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JEROME PEDIATRIC P.C is a primary care clinic center in Bronx, NY. JEROME PEDIATRIC P.C NPI is 1497078554. The provider is registered as an organization entity type.

The provider's business location address is:

2386 JEROME AVE
BRONX, NY
ZIP 10468-401
Phone: (718) 220-1771
Fax: (718) 220-1775

The provider's authorized official is Giancarlo R Guido .
The authorized official title is Director and has the following contact phone number (718) 220-1771.

The CLIA number assigned to this NPI record is 33D1107327 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/3/2010 and was last updated on 3/3/2010.

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
1	261QP2300X	Clinic/Center	Primary Care	233015	NEW YORK	Yes

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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