FALLSBURG PEDIATRICS PC NPI 1508157215

NPI Information

  • NPI: 1508157215
  • Provider Name: FALLSBURG PEDIATRICS PC
  • Classification: Pediatrics - 208000000X
  • Entity Type: Organization
  • CLIA Number: 33D2073295
  • Address: 142 LAUREL PARK RD
    FALLSBURG, NY
    ZIP 12733
  • Phone: (845) 436-1850

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NPI Details

FALLSBURG PEDIATRICS PC is a pediatrics in Fallsburg, 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. FALLSBURG PEDIATRICS PC NPI is 1508157215. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

142 LAUREL PARK RD
FALLSBURG, NY
ZIP 12733-009
Phone: (845) 436-1850
Fax: (845) 436-1851

The provider's authorized official is Esther J Gottlieb .
The authorized official title is Nurse Practitioner and has the following contact phone number (845) 436-1850.

The CLIA number assigned to this NPI record is 33D2073295 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/28/2011 and was last updated on 1/9/2013.

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
1208000000XPediatrics333279NEW 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
102919359MEDICAIDNEW 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: 11/21/2025

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