HEALTHY CHILDREN PEDIATRIC MEDICINEP.C. NPI 1558626515

NPI Information

  • NPI: 1558626515
  • Provider Name: HEALTHY CHILDREN PEDIATRIC MEDICINE,P.C.
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • CLIA Number: 33D2056339
  • Address: 1240 WALTON AVE
    ST 1
    BRONX, NY
    ZIP 10452
  • Phone: (718) 588-0303

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NPI Details

HEALTHY CHILDREN PEDIATRIC MEDICINE,P.C. is a specialist in Bronx, NY. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. HEALTHY CHILDREN PEDIATRIC MEDICINE,P.C. NPI is 1558626515. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1240 WALTON AVE
ST 1
BRONX, NY
ZIP 10452-050
Phone: (718) 588-0303

The provider's authorized official is Grecia A Marte .
The authorized official title is Physician and has the following contact phone number (347) 426-6906.

The CLIA number assigned to this NPI record is 33D2056339 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/5/2012 and was last updated on 12/27/2012.

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
1174400000XSpecialist239636NEW 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
102773577MEDICAIDNEW 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: 3/30/2025

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