Haverstraw Pediatrics

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

136434 Issued in NY

Legal business name

HAVERSTRAW PEDIATRICS

Practice address

48 New Main St
Haverstraw, NY 10927-1812

Phone

(845) 429-3382

Fax

(845) 429-2057

NPI assigned

Mar 2, 2007

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

Vidhu Thaker, M.D.

Title

Partner

Phone

(845) 429-3382

Specialties & licenses 4

Addresses

Locations

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033248562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 NEW MAIN ST",
            "city": "HAVERSTRAW",
            "state": "NY",
            "postal_code": "109271812",
            "telephone_number": "845-429-3382",
            "fax_number": "845-429-2057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 NEW MAIN ST",
            "city": "HAVERSTRAW",
            "state": "NY",
            "postal_code": "109271812",
            "telephone_number": "845-429-3382",
            "fax_number": "845-429-2057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVERSTRAW PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THAKER",
        "authorized_official_first_name": "VIDHU",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "845-429-3382",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NY",
            "license": "227354",
            "primary": false
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NY",
            "license": "109077",
            "primary": false
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NY",
            "license": "129096",
            "primary": false
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NY",
            "license": "136434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lorelei Theresa Greene Tinston
• Havermill Pharmacy (dba millers drug store)
• Haverstraw Ambulance Corps, Inc
• Haverstraw Drugs LLC (Care RX Pharmacy)
• Haverstraw Family Practice, P.C.
• Haverstraw RX LLC (Care Rx Pharmacy)
• Helen D. de Asis MD PC
• Leslie Helprin, PH.D.
• Anthony Henriquez
• Luisa Henriquez, BS RPH

• Pediatric Adolescent Medicine Physician in Haverstraw, NY
• Providers in Haverstraw, NY by specialty
• Pediatric Adolescent Medicine Physician in New York

• 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.