Organization Active NPI

River Valley Pediatrics

  • Pediatrics Physician
  • Scarsdale, NY
National Provider Identifier
1023175510
Registry record updated Jul 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
207768 Issued in NY
Legal business name
RIVER VALLEY PEDIATRICS
Practice address
531 Central Park Ave
Suite 102
Scarsdale, NY 10583-1000
Phone
(914) 472-3333
Fax
(914) 472-7247
NPI assigned
Jan 3, 2007
Last updated
Jul 20, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Katherine Frederick
Title
MD
Phone
(914) 472-3333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 207768 NY Primary

Addresses

Primary practice location

531 Central Park Ave
Suite 102
Scarsdale, NY 10583-1000

Mailing address

531 Central Park Ave
Suite 102
Scarsdale, NY 10583-1000
Phone (914) 472-3333

Other identifiers 1

IdentifierTypeStateIssuer
207768OtherNYLICENSE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184889600000",
    "number": "1023175510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 CENTRAL PARK AVE",
            "address_2": "SUITE 102",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105831000",
            "telephone_number": "914-472-3333",
            "fax_number": "914-472-7247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 CENTRAL PARK AVE",
            "address_2": "SUITE 102",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105831000",
            "telephone_number": "914-472-3333",
            "fax_number": "914-472-7247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER VALLEY PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2007-07-20",
        "status": "A",
        "authorized_official_last_name": "FREDERICK",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "914-472-3333"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "207768",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "207768",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scarsdale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.