ST. NICHOLAS PEDIATRICS PC NPI 1568512408

NPI Information

  • NPI: 1568512408
  • Provider Name: ST. NICHOLAS PEDIATRICS, PC
  • Classification: Pediatrics - 208000000X
  • Entity Type: Organization
  • Address: 251 W KINGSBRIDGE RD
    BRONX, NY
    ZIP 10463
  • Phone: (718) 884-7400

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NPI Details

ST. NICHOLAS PEDIATRICS, PC is a pediatrics in Bronx, 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. ST. NICHOLAS PEDIATRICS, PC NPI is 1568512408. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

251 W KINGSBRIDGE RD
BRONX, NY
ZIP 10463-308
Phone: (718) 884-7400
Fax: (718) 884-3186

The provider's authorized official is Hector Antonio Valencia .
The authorized official title is Owner and has the following contact phone number (718) 884-7400.

The enumeration date for this NPI number is 1/11/2007 and was last updated on 8/22/2020.

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
1208000000XPediatricsYes

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
102219529MEDICAIDNEW 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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