Pediatric Associates PSN LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

PEDIATRIC ASSOCIATES PSN LLC

Practice address

4620 N St Rd 7
Suite 316
Lauderdale Lakes, FL 33319

Phone

(954) 967-6400

Fax

(954) 965-7339

NPI assigned

May 18, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Philip A Levin, MD

Title

Ceo

Phone

(954) 965-7332

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• Jack A Cohen, MD

  • Pediatrics Physician
  • Pembroke Pines, FL
  • NPI 1902895709
  NPD (past)
• Leticia B Jeanneret, ARNP

  • Pediatrics Physician
  • Lighthouse Point, FL
  • NPI 1710975388
  NPD (past)
• Steven G Tucker, MD

  • Pediatrics Physician
  • Palmetto Bay, FL
  • NPI 1679561237
  NPD (past)

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033162607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4620 N ST RD 7",
            "address_2": "SUITE 316",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "33319",
            "telephone_number": "954-967-6400",
            "fax_number": "954-965-7339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4620 N ST RD 7",
            "address_2": "SUITE 316",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "33319",
            "telephone_number": "954-967-6400",
            "fax_number": "954-965-7339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC ASSOCIATES PSN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEVIN",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-965-7332",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Damon Pavlus, M.D.
• Chanda Payoute
• PCP of Lauderdale LKS
• Peace of Mind Recovery Center Inc.
• Peace of Mind Recovery Center Inc.
• Emmane Pemberton, MSW
• Hereward Pennycooke
• Peopleone Health Medical Group PA
• Nicole Marie Pera, LMHC
• Clare M Pereira, ARNP

• Pediatrics Physician in Lauderdale Lakes, FL
• Providers in Lauderdale Lakes, FL by specialty
• Pediatrics Physician in Florida

• 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.

Verify at the official NPI Registry.