LONG ISLAND PEDIATRICS OF BRENTWOOD,P.C. (NPI# 1912226689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912226689 |
Entity Type | Organization |
Organization Name | LONG ISLAND PEDIATRICS OF BRENTWOOD,P.C. |
Practice Address |
55 Second Avenue Suite 9 Brentwood NY 11717 |
Practice Telephone | 6318132610 |
Practice Fax Number | 6318132613 |
Mailing Telephone | 6318132610 |
Enumeration Date | 2010-05-20 |
Last Update Date | 2019-07-09 |
Authorized Official Name | DR. ALAAELDIN F MOAWAD (MEDICAL DIRECTOR) |
Authorized Official Telephone | 6318132610 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
Street Address |
55 SECOND AVENUE SUITE 9 |
City | BRENTWOOD |
State | NY |
Zip Code | 11717 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093046146 | Iluminado Nirza Jr. | Physical Therapist | 55 Second Avenue, Brentwood, NY 11717 | 2010-01-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265998827 | Lauretta Elaine Murdock | Behavioral Analyst | C/o The Mosaic Foundation for Autism, Inc., 1725 Brentwood Rd., Brentwood, NY 11717 | 2019-02-19 |
1811467467 | Benjamin D. Thompkins Jr. | Social Worker | 164 3rd Avenue, Brentwood, NY 11717 | 2018-11-27 |
1114496262 | Timothy Eisemann | Registered Nurse | 52 Third Ave, Brentwood, NY 11717 | 2018-11-19 |
1245710490 | Lauren Linker | Occupational Therapist | Brentwood Union Free School District, 52 Third Avenue, Brentwood, NY 11717 | 2018-08-17 |
1558849786 | Anila Thomas | Registered Nurse | Pilgrims Psychiatric Center, 998 Crooked Hill Road, Brentwood, NY 11717 | 2018-07-31 |
1306330857 | Rhina Aguila | Licensed Practical Nurse | 162 Studley St, Brentwood, NY 11717 | 2018-06-19 |
1659863595 | Steven Edward Szydziak | Registered Nurse | Pilgrim State Psychiatric Center, 998crooked Hil Rd, Brentwood, NY 11717 | 2018-06-06 |
1881103570 | Shatevia Simpson Hickson | Behavioral Analyst | 56 Swallow Ln, Brentwood, NY 11717 | 2017-09-25 |
1306375753 | Shavona Layne | Behavioral Analyst | 8 Strum Streeet, Brentwood, NY 11717 | 2017-06-08 |
1669921334 | David Ramirez | Licensed Practical Nurse | 27 Bruce Lane, Brentwood, NY 11717 | 2016-09-23 |
Find all providers in zip 11717 |
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 |
---|---|---|---|---|
1427679208 | Susan Ashley Stallings | Pediatrics | 5115 Woodland Hills Dr, Brentwood, TN 37027-5821 | 2020-05-03 |
1952834558 | Jack Moore Whitehead | Pediatrics | 95 Seaboard Ln Ste 201, Brentwood, TN 37027-3040 | 2017-04-10 |
1518323518 | Southern Pediatrics of Cool Springs | Pediatrics | 1238 Monarch Way, Brentwood, TN 37027-2621 | 2016-01-06 |
1316106511 | Cory Brooks Collier | Pediatrics | 7003 Chadwick Dr Ste 298, Brentwood, TN 37027-3234 | 2008-06-03 |
1447437991 | Usha Vallamdas | Pediatrics | 293 Pebble Beach Dr, Brentwood, CA 94513-7087 | 2008-01-28 |
1730391350 | Minta M. Sanchez | Pediatrics | 2400 Balfour Rd Ste 229, Brentwood, CA 94513-4952 | 2007-05-04 |
1447479282 | Kuang-tzu Davis Lin | Pediatrics | 5504 Cottonport Dr, Brentwood, TN 37027-7640 | 2007-04-24 |
1427196740 | Frederick Jerome Corder | Pediatrics | 3715 Rhode Island Ave, Brentwood, MD 20722-1435 | 2007-02-01 |
1750445649 | Lisa Kristina Storrs | Pediatrics | 317 Seven Springs Way Ste 203, Brentwood, TN 37027-4518 | 2006-12-22 |
1376593632 | Howard Brian Leeper | Pediatrics | 95 Seaboard Ln, Suite 201, Brentwood, TN 37027-3031 | 2006-05-10 |
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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.