LONG ISLAND PEDIATRICS OF BRENTWOOD,P.C.


Address: 55 Second Avenue, Suite 9, Brentwood, NY 11717
Phone: 6318132610

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208000000X Pediatrics Allopathic & Osteopathic Physicians

Office Location

Street Address 55 SECOND AVENUE
SUITE 9
City BRENTWOOD
State NY
Zip Code 11717

Providers in the same location

NPI Name Taxonomy Address Enumeration
1093046146 Iluminado Nirza Jr. Physical Therapist 55 Second Avenue, Brentwood, NY 11717 2010-01-28

Providers in the same zip code

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 Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
Find all providers in BRENTWOOD

Competitor

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City BRENTWOOD
Zip Code 11717

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Dataset Information

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.

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