NORTHEAST PEDIATRIC ASSOCIATES P.C. NPI 1578504288

NPI Information

  • NPI: 1578504288
  • Provider Name: NORTHEAST PEDIATRIC ASSOCIATES, P.C.
  • Classification: Pediatrics - 208000000X
  • Entity Type: Organization
  • CLIA Number: 23D0371341
  • Address: 75 BARCLAY CIR
    SUITE 115
    ROCHESTER HILLS, MI
    ZIP 48307
  • Phone: (248) 856-6300

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NPI Details

NORTHEAST PEDIATRIC ASSOCIATES, P.C. is a pediatrics in Rochester Hills, MI. 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. NORTHEAST PEDIATRIC ASSOCIATES, P.C. NPI is 1578504288. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

75 BARCLAY CIR
SUITE 115
ROCHESTER HILLS, MI
ZIP 48307-820
Phone: (248) 856-6300
Fax: (248) 856-6303

The provider's authorized official is Avinash Chandra Chawla .
The authorized official title is Owner and has the following contact phone number (248) 856-6300.

The CLIA number assigned to this NPI record is 23D0371341 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 6/10/2006 and was last updated on 10/13/2014.

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
1208000000XPediatrics032605MICHIGANYes

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
1SL068132OTHERMICHIGANSTATE LICENSE
2ON50260MEDICARE UPINMICHIGAN
3TS039701OTHERMICHIGANSTATE LICENSE
4AC032605OTHERMICHIGANSTATE LICENSE
5F032605MEDICARE UPINMICHIGAN
6SA078409OTHERMICHIGANSTATE LICENSE
7A77214MEDICARE UPINMICHIGAN
8H05452MEDICARE UPINMICHIGAN
9KH074131OTHERMICHIGANSTATE LICENSE

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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