HICKSVILLE PEDIATRICS PC NPI 1508134578

NPI Information

  • NPI: 1508134578
  • Provider Name: HICKSVILLE PEDIATRICS PC
  • Classification: Pediatrics - 2080A0000X
  • Specialization: Adolescent Medicine
  • Entity Type: Organization
  • CLIA Number: 33D2309201
  • Address: 535 S BROADWAY
    SUITE 1
    HICKSVILLE, NY
    ZIP 11801
  • Phone: (516) 719-0344

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NPI Details

HICKSVILLE PEDIATRICS PC is an adolescent medicine pediatrics in Hicksville, 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. HICKSVILLE PEDIATRICS PC NPI is 1508134578. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

535 S BROADWAY
SUITE 1
HICKSVILLE, NY
ZIP 11801-029
Phone: (516) 719-0344
Fax: (516) 719-0345

The provider's authorized official is Deepti Mehrotra .
The authorized official title is President and has the following contact phone number (516) 719-0344.

The CLIA number assigned to this NPI record is 33D2309201 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/6/2011 and was last updated on 1/4/2012.

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 Medicine211597NEW 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

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