RICHARD RITT PONGVITAYAPANU (NPI# 1518499805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518499805 |
| Entity Type | Individual |
| Full Name | RICHARD RITT PONGVITAYAPANU |
| Credential | MD |
| Practice Address |
600 Main St Ste A Center Moriches NY 11934-2207 |
| Mailing Address |
Po Box 1559 Stony Brook NY 11790-0989 |
| Practice Telephone | 6314445437 |
| Practice Fax Number | 6314447865 |
| Mailing Telephone | 6314442710 |
| Mailing Fax Number | 6314447865 |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2020-06-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 30414501 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
600 MAIN ST STE A |
| City | CENTER MORICHES |
| State | NY |
| Zip Code | 11934-2207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194083386 | Bridget M Wieczkowski | Pediatrics | 600 Main St Ste A, Center Moriches, NY 11934-2207 | 2012-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275915381 | Julie Stuart | Licensed Practical Nurse | 43 Railroad Ave, Center Moriches, NY 11934 | 2015-06-25 |
| 1932508520 | Christopher Gene Doloroso | Social Worker | 408 Main Street #3, Center Moriches, NY 11934 | 2014-08-19 |
| 1710236211 | Jeannine Casper | Behavioral Analyst | 20 Senix Avenue, Center Moriches, NY 11934 | 2012-08-30 |
| 1255600243 | Ellen Stein | Counselor | 129 Hewitt Blvd., Center Moriches, NY 11934 | 2011-12-20 |
| 1295035491 | Philip Henry Antz | Social Worker | 220 Mainstreet, Center Moriches, NY 11934 | 2010-10-22 |
| 1215169602 | Holly Lee Gordon | Social Worker | 408 Main St South, Center Moriches, NY 11934 | 2009-08-18 |
| 1740415744 | Sleep Disorder Center | Internal Medicine | 356 Maind St, Center Moriches, NY 11934 | 2009-05-19 |
| 1033358957 | Louise Florence Colon | Registered Nurse | 40 Trainor Ave, Center Moriches, NY 11934 | 2009-02-17 |
| 1710150271 | Independent Group Home Living | Nursing Facility/Intermediate Care Facility | 21 Montauk Highway, Center Moriches, NY 11934 | 2008-04-07 |
| 1518096437 | Pamela Anne Mcdonald | Speech-Language Pathologist | 77 Union Street, Out East Occupational Therapy PC, Center Moriches, NY 11934 | 2007-03-05 |
| Find all providers in zip 11934 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194083386 | Bridget M Wieczkowski | Pediatrics | 600 Main St Ste A, Center Moriches, NY 11934-2207 | 2012-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518577550 | Danielle Vann | Pediatrics | 151 N Washington St # 2s, Sleepy Hollow, NY 10591-3117 | 2020-08-04 |
| 1699392357 | Long Island Pediatrics of Patchogue PC | Pediatrics | 475 E Main St Ste 109, Patchogue, NY 11772-3121 | 2020-06-29 |
| 1811510811 | Dr Pediatric PC | Pediatrics | 38 Hopewell Dr, Stony Brook, NY 11790-2339 | 2020-05-26 |
| 1598386864 | Sandra Howard Bonat | Pediatrics | 4 Filomena Ct, Dix Hills, NY 11746-4750 | 2020-04-28 |
| 1497374359 | Medical Health 360 Pllc | Pediatrics | 16955 County Route 59, Dexter, NY 13634-2027 | 2020-04-10 |
| 1922633007 | Danzi & Hajduk-bennett Pediatrics Pllc | Pediatrics | 994 W Jericho Tpke Ste 202, Smithtown, NY 11787-3234 | 2020-03-09 |
| 1396377180 | Chelsea Oberkrieser | Pediatrics | 17 Long Ave Ste 110, Hamburg, NY 14075-6200 | 2020-02-10 |
| 1619508900 | Total Care Pediatrics Pllc | Pediatrics | 4265 Kissena Blvd # L4, Flushing, NY 11355-3273 | 2020-01-27 |
| 1639709157 | Decerina Uy Md PC | Pediatrics | 649 Route 25a Ste 3, Rocky Point, NY 11778-8983 | 2020-01-23 |
| 1447890603 | Opear Holdings, Inc | Pediatrics | 2635 Frances St, Bellmore, NY 11710-5401 | 2020-01-15 |
| Find all providers with the same taxonomy | ||||
| City | CENTER MORICHES |
| Zip Code | 11934 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.