FAMILY PEDIATRIC (NPI# 1982093944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982093944 |
| Entity Type | Organization |
| Organization Name | FAMILY PEDIATRIC |
| Other Organization Name | FAMILY PEDIATRIC |
| Practice Address |
2224 Collier Ave Far Rockaway NY 11691-2637 |
| Practice Telephone | 3476830924 |
| Practice Fax Number | 5165968860 |
| Mailing Telephone | 3476830924 |
| Mailing Fax Number | 5165968860 |
| Enumeration Date | 2015-01-14 |
| Last Update Date | 2015-01-14 |
| Authorized Official Name | OLUWAKEMI OGUNDALU (REGISTERED NURSE) |
| Authorized Official Telephone | 3476830924 |
| Authorized Official Credential | NURSE |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251J00000X | Nursing Care | 689977 | NY | Agencies |
| N | 302R00000X | Health Maintenance Organization | 689977 | NY | Managed Care Organizations |
| N | 313M00000X | Nursing Facility/Intermediate Care Facility | 689977 | NY | Nursing & Custodial Care Facilities |
| N | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 689977 | NY | Residential Treatment Facilities |
| Y | 282NC2000X |
General Acute Care Hospital Specialization: Children |
689977 | NY | Hospitals |
| Other Name | Type Code |
|---|---|
| Family pediatric | Other Name - Individual/Organization |
| Street Address |
2224 COLLIER AVE |
| City | FAR ROCKAWAY |
| State | NY |
| Zip Code | 11691-2637 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902218720 | Lateef Adesanya | Licensed Practical Nurse | 2224 Collier Ave, Far Rockaway, NY 11691-2637 | 2014-05-28 |
| 1619341963 | Oluwakemi Ogundalu | Registered Nurse | 2224 Collier Ave, Far Rockaway, NY 11691-2637 | 2015-11-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487261772 | Jalpa Dholaria | Physical Therapist | 265 Beach 20th Street, Far Rockaway, NY 11691 | 2020-09-30 |
| 1578179529 | Sneha Satheesh Menon | Physical Therapist | 265 Beach 20th Street Far Rockaway, Queens, NY 11691 | 2020-09-16 |
| 1558997676 | Manuel Garcia Morell | Student in an Organized Health Care Education/Training Program | 327 Beach 19 Th St, Far Rockaway, Queens, NY 11691 | 2020-03-20 |
| 1750927992 | Barbrara Graham | Licensed Practical Nurse | 143 Baech 26th Street, Apt 2, Far Rockaway, NY 11691 | 2019-11-22 |
| 1639735665 | Ernest Okwuonu | Student in an Organized Health Care Education/Training Program | 327 Beach 19th St., Rockaway, NY 11691 | 2019-05-15 |
| 1700342433 | Reliable Care Consulting LLC | Case Management | 1858 Cornaga Ave, 2nd Fl., Far Rockaway, NY 11691 | 2019-02-19 |
| 1336604008 | Menaka Abeyewardene | Student in an Organized Health Care Education/Training Program | St. John's Episcopal Hospital, 327 Beach 19th Street, Far Rockaway, NY 11691 | 2019-02-06 |
| 1346733441 | Keisha Taylor-glanville | Social Worker | 20-2 Seagrit Blvd., Queens, NY 11691 | 2018-06-13 |
| 1336631035 | Michael Y Ivry Dds PC | Oral & Maxillofacial Surgery | 2550 Seagirt Blvd, Far Rockaway, NY 11691 | 2018-05-30 |
| 1992202071 | Angel David Aponte | Student in an Organized Health Care Education/Training Program | 327 Beach 19st, Internal Medicine Dpt, Far Rockaway, NY 11691 | 2018-04-06 |
| Find all providers in zip 11691 | ||||
| Taxonomy Code | 282NC2000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Children |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124404819 | Liliana Burdea | General Acute Care Hospital | 224 E 149th St, Bronx, NY 10451-5504 | 2015-08-04 |
| 1588041628 | Westchester Medical Center | General Acute Care Hospital | 1935 Eastchester Rd Apt 3d, Bronx, NY 10461-2142 | 2015-04-28 |
| 1285041160 | New York Presbyterian Hospital | General Acute Care Hospital | 106 W 96th St Apt 2b, New York, NY 10025-6409 | 2014-07-12 |
| 1326464355 | Morgan Stanley Children's Hospital | General Acute Care Hospital | 3959 Broadway, Chn - 1102, New York, NY 10032-0000 | 2014-03-14 |
| 1093066011 | New York City Health Hosptial Corporation | General Acute Care Hospital | 1901 1st Ave Ste 6m22, New York, NY 10029-7404 | 2012-10-01 |
| 1003166091 | Kaleida Health | General Acute Care Hospital | 1045 W. Delavan Ave, Buffalo, NY 14209 | 2012-09-17 |
| 1003195652 | Montefiore Medical Center | General Acute Care Hospital | 4 Pondview Close, Chappaqua, NY 10514-3703 | 2011-08-14 |
| 1821309691 | Winthrop University Hospital | General Acute Care Hospital | 58 6th Ave, Mineola, NY 11501-4114 | 2010-06-27 |
| 1710201512 | Suny Downstate Medical Center | General Acute Care Hospital | 450 Clarkson Ave Ste D, Brooklyn, NY 11203-2012 | 2010-03-23 |
| 1164688826 | New York Presbyterian Hospital | General Acute Care Hospital | 3959 Broadway # Bhn-616, Department of Pediatric Psychiatry, New York, NY 10032-1559 | 2008-08-01 |
| Find all providers with the same taxonomy | ||||
| City | FAR ROCKAWAY |
| Zip Code | 11691 |
Please comment or provide details below to improve the information on FAMILY PEDIATRIC.
| 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.