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 |
| 1 | 208000000X | Pediatrics | | 145263 | NEW YORK | Yes |
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 |
| 1 | P432106 | OTHER | NEW YORK | OXFORD HEALTH PLAN |
| 2 | B14676 | MEDICARE UPIN | NEW YORK | |
| 3 | 44A041 | MEDICARE PIN | NEW YORK | |
| 4 | 00145263 | OTHER | NEW YORK | METRO PLUS |
| 5 | 042897 | OTHER | NEW YORK | AETNA US HEALTHCARE |
| 6 | 3C3294 | OTHER | NEW YORK | HEALTH NET |
| 7 | 0500365 | OTHER | NEW YORK | US HEALTH CARE |
| 8 | 00562616 | MEDICAID | NEW YORK | |
| 9 | 2695753 | OTHER | NEW YORK | GHI |
| 10 | 0000000191310009 | OTHER | NEW YORK | GHI HMO |
| 11 | 145263 | OTHER | NEW YORK | HIP |
| 12 | 000060402990 | OTHER | NEW YORK | FIDELIS CARE |
| 13 | 614Z61 | OTHER | NEW YORK | BLUE CROSS BLUE SHEILD |
| 14 | 5544488/016 | OTHER | NEW YORK | CIGNA |
| 15 | 119131 | OTHER | NEW YORK | WELLCARE |
| 16 | 145263-B14 | OTHER | NEW YORK | HEALTH FIRST |
