ALVIN N EDEN PEDIATRICS (NPI# 1760884134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760884134 |
| Entity Type | Organization |
| Organization Name | ALVIN N EDEN PEDIATRICS |
| Practice Address |
10721 Queens Blvd Suite 7 Forest Hills NY 11375-4413 |
| Practice Telephone | 7182618989 |
| Practice Fax Number | 7182618995 |
| Mailing Telephone | 7182618989 |
| Mailing Fax Number | 7182618995 |
| Enumeration Date | 2014-09-17 |
| Last Update Date | 2014-09-17 |
| Authorized Official Name | DR. ALVIN N EDEN (PEDIATRICIAN) |
| Authorized Official Telephone | 7182618989 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
074400 | NY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | HEALTH PLUS | 313350101 | 01 |
| NY | AMERIGROUP | 000024001 | 01 |
| NY | 00986910 | 05 | |
| HEALTH PLUS | 313440101 | 01 |
| Street Address |
10721 QUEENS BLVD SUITE 7 |
| City | FOREST HILLS |
| State | NY |
| Zip Code | 11375-4413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265439905 | Daniel Grapel | Podiatrist | 10721 Queens Blvd, Forest Hills, NY 11375-4451 | 2005-07-07 |
| 1891139408 | C & C Anesthesia Pllc | Specialist | 10721 Queens Blvd, Suite 4, Forest Hills, NY 11375-4413 | 2013-04-25 |
| 1891034500 | Gastroenterology & Liver Disease, PC | Specialist | 10721 Queens Blvd, Suite 4, Forest Hills, NY 11375-4413 | 2013-02-01 |
| 1730427832 | C & C Anesthesia Pllc | Anesthesiology | 10721 Queens Blvd, Forest Hills, NY 11375-4413 | 2013-01-24 |
| 1194092627 | Logistics Medical Associates PC | Specialist | 10721 Queens Blvd, Suite 4, Forest Hills, NY 11375-4413 | 2011-11-29 |
| 1780834051 | Family Footcare and Surgery Pllc | Podiatrist | 10721 Queens Blvd, Suite 11, Forest Hills, NY 11375-4451 | 2008-09-23 |
| 1912172834 | David Schwartz and Debra Blum Dds PC | Dentist | 10721 Queens Blvd, Suite 3, Forest Hills, NY 11375-4451 | 2008-04-23 |
| 1649448879 | Tetyana Boreesenko | Podiatrist | 10721 Queens Blvd, Suite 11, Forest Hills, NY 11375-4451 | 2008-02-11 |
| 1770775025 | Albert Shalomov | Internal Medicine | 10721 Queens Blvd, Suite 4, Forest Hills, NY 11375-4413 | 2007-08-10 |
| 1144437500 | Felix Estrin | Dentist | 10721 Queens Blvd, Suite 2a, Forest Hills, NY 11375-4451 | 2007-05-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932709623 | Nicole Ficano | Counselor | 102-02 66th Road, Forest Hills, NY 11375 | 2020-10-30 |
| 1396342473 | One Stop Senior Day Care Inc | Clinic/Center | 108-10 72nd Ave 2fl, Forest Hills, NY 11375 | 2020-10-02 |
| 1063029023 | Prohealth Care Associates, LLP | Occupational Therapist | 118-35 Queens Boulevard, Suite 1550, Forest Hills, NY 11375 | 2020-09-24 |
| 1659909398 | Lindsay Stemke | Student in an Organized Health Care Education/Training Program | 102-01 66th Rd., Forest Hills, NY 11375 | 2020-03-30 |
| 1609409887 | Yesodot, Inc | Clinic/Center | 110-06 69th Ave, Forest Hills, NY 11375 | 2020-02-17 |
| 1831744945 | Darius Douglas | Counselor | Bleuler Psychotherapy Center 104-70 Queens Blvd, Suite 500, Forest Hills, NY 11375 | 2019-08-06 |
| 1598329914 | Jane Rochelle Pahang | Physical Therapist | 116-21 Queens Blvd, Forest Hills, NY 11375 | 2019-05-01 |
| 1558828939 | Natalie Koptyev | Pharmacist | 108-14 68th Drive, Forest Hills, NY 11375 | 2019-02-21 |
| 1043782014 | Magdalena Lekic Salameh | Behavioral Analyst | 67-29 Kessel Street, Forest Hills, NY 11375 | 2018-12-31 |
| 1861960031 | Bertine Sylvie Alectine | Specialist | 108-18 Queens Blvd, 5th Floor, Suite 4a, Forest Hills, NY 11375 | 2018-11-06 |
| Find all providers in zip 11375 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689979163 | Mlg Medical, P.C. | Clinic/Center | 111-15 Queens Blvd. 2nd Floor, Forest Hills, NY 11375-7422 | 2011-01-14 |
| 1316464936 | Irina Niazova Nurse Practitioner In Adult Health PC | Clinic/Center | 9610 Metropolitan Ave, Forest Hills, NY 11375-6625 | 2017-08-24 |
| 1346537388 | Lynn Ang | Clinic/Center | 10201 66th Rd, Forest Hills, NY 11375-2029 | 2011-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073113346 | Community Pediatrics of Wny, Pllc | Clinic/Center | 741 Davison Rd, Lockport, NY 14094-5214 | 2020-10-27 |
| 1033718085 | Palliative Care Consulting Services | Clinic/Center | 1188 Fox St, Bronx, NY 10459-1810 | 2020-10-21 |
| 1821601352 | Xian Medical Care PC | Clinic/Center | 2010 Bay Ridge Pkwy, Brooklyn, NY 11204-5925 | 2020-08-25 |
| 1952920795 | Divine Medical LLC | Clinic/Center | 13163 233rd St # 1, Rosedale, NY 11422-1305 | 2020-04-12 |
| 1972159333 | Ap Medical Care PC | Clinic/Center | 3506 73rd St Ste 2, Jackson Heights, NY 11372-4104 | 2019-08-12 |
| 1982258422 | Schenk Primary Care Medicine, Pllc | Clinic/Center | 2350 Maple Road Suite 100, Amherst, NY 14221 | 2019-08-01 |
| 1356993976 | Mingzhu Medical Office, P.C. | Clinic/Center | 5615 7th Ave Fl 2, Brooklyn, NY 11220-3509 | 2019-07-13 |
| 1417509357 | Henderson Health Services Family Nurse Practitioner Pllc | Clinic/Center | 4 Clarion Dr, White Plains, NY 10603-2868 | 2019-07-11 |
| 1154988897 | Bissalam Medical LLC | Clinic/Center | 3391 3rd Ave Ste 1, Bronx, NY 10456-5355 | 2019-05-28 |
| 1851859961 | Lower Westchester Medical Associates, P.C. | Clinic/Center | 105 Stevens Ave Ste 305306, Mount Vernon, NY 10550-2686 | 2019-03-07 |
| Find all providers with the same taxonomy | ||||
| City | FOREST HILLS |
| Zip Code | 11375 |
Please comment or provide details below to improve the information on ALVIN N EDEN PEDIATRICS.
| 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.