Organization Active NPI

First Choice Pediatrics, PC

  • Pediatrics Physician
  • Jackson Heights, NY
National Provider Identifier
1043480593
Registry record updated Mar 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
237321 Issued in NY
Legal business name
FIRST CHOICE PEDIATRICS, PC
Practice address
3347 91St St Apt 1J
Jackson Heights, NY 11372-1731
Phone
(718) 424-2332
Fax
(718) 424-2386
NPI assigned
Mar 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2008

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

Authorized official

Name
Ella ZavolunovaNPI 1659469260
Title
MD
Phone
(718) 424-2332

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 237321 NY Primary

Addresses

Primary practice location

3347 91St St Apt 1J
Jackson Heights, NY 11372-1731

Mailing address

3347 91St St Apt 1J
Jackson Heights, NY 11372-1731
Phone (718) 424-2332

Other identifiers 1

IdentifierTypeStateIssuer
02732121MedicaidNY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1205193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205193600000",
    "number": "1043480593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3347 91ST ST APT 1J",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113721731",
            "telephone_number": "718-424-2332",
            "fax_number": "718-424-2386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3347 91ST ST APT 1J",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113721731",
            "telephone_number": "718-424-2332",
            "fax_number": "718-424-2386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST CHOICE PEDIATRICS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-11",
        "last_updated": "2008-03-11",
        "status": "A",
        "authorized_official_last_name": "ZAVOLUNOVA",
        "authorized_official_first_name": "ELLA",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "718-424-2332"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "237321",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02732121",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; 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.