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PEDIATRICS 2000 II PC NPI 1912039074


NPI Information

NPI: 1912039074
Provider Name: PEDIATRICS 2000 II PC
Classification: Pediatrics - 2080A0000X
Entity Type: Organization

Specialization: Adolescent Medicine

CLIA Number: 33D0958734

Address:
600 W 150TH ST STE 1
NEW YORK, NY
ZIP 10031
Phone: (212) 694-2000
Get Directions

PEDIATRICS 2000 II PC is an adolescent medicine pediatrics in New York, NY. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. PEDIATRICS 2000 II PC NPI is 1912039074. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

600 W 150TH ST STE 1
NEW YORK, NY
ZIP 10031-428
Phone: (212) 694-2000

The provider's authorized official is Juan Tapia .
The authorized official title is Owner and has the following contact phone number (212) 694-2000.

The CLIA number assigned to this NPI record is 33D0958734 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/12/2007 and was last updated on 2/8/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080A0000XPediatricsAdolescent MedicineYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11700813995OTHERNEW YORKNPI
21124139225OTHERNEW YORKNPI
31326141698OTHERNEW YORKNPI
41407967516OTHERNEW YORKNPI
51760586457OTHERNEW YORKNPI
61790779064OTHERNEW YORKNPI
71225131592OTHERNEW YORKNPI
81194828459OTHERNEW YORKNPI
91578666061OTHERNEW YORKNPI
1002047134MEDICAIDNEW YORK
111346352408OTHERNEW YORKNPI
121720184153OTHERNEW YORKNPI

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: 4/28/2024

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