Active NPI
Developmental Pediatrics, PLLC
- Specialist
- Latham, NY
National Provider Identifier
1013003482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 119952-1
- Legal business name
- DEVELOPMENTAL PEDIATRICS, PLLC
- Practice address
- 7B Johnson Rd
Latham, NY 12110-3003 - Phone
- (518) 782-7733
- Fax
- (518) 782-0800
- NPI assigned
- Oct 5, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Anthony Francis Malone, M.D.
- Title
- Owner/Operator
- Phone
- (518) 782-7733
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 119952-1 | NY | Primary |
Addresses
Primary practice location
7B Johnson Rd
Latham, NY 12110-3003
Mailing address
7B Johnson Rd
Latham, NY 12110-3003
Phone (518) 782-7733
Other names 1
- Developmental Pediatrics
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://api.platform.athenahealth.com/21097/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Developmental - Behavioral Pediatrics Physician
- Latham, NY
- NPI 1033172952
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1013003482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7B JOHNSON RD",
"city": "LATHAM",
"state": "NY",
"postal_code": "121103003",
"telephone_number": "518-782-7733",
"fax_number": "518-782-0800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7B JOHNSON RD",
"city": "LATHAM",
"state": "NY",
"postal_code": "121103003",
"telephone_number": "518-782-7733",
"fax_number": "518-782-0800"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEVELOPMENTAL PEDIATRICS, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-05",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MALONE",
"authorized_official_first_name": "ANTHONY",
"authorized_official_middle_name": "FRANCIS",
"authorized_official_title_or_position": "OWNER/OPERATOR",
"authorized_official_telephone_number": "518-782-7733",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "119952-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Developmental Pediatrics",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Latham, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.