Organization Active NPI

Manhattan Queens Pediatrics

  • Pediatrics Physician
  • New York, NY
National Provider Identifier
1053896332
Registry record updated Oct 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
MANHATTAN QUEENS PEDIATRICS
Practice address
155 East 38TH Street
Suite 2E
New York, NY 10016
Phone
(212) 490-2446
Fax
(212) 599-2376
NPI assigned
Oct 2, 2018
Last updated
Oct 2, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2018

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

Authorized official

Name
Blair J Guidera, M.D.NPI 1700913886
Title
President
Phone
(212) 490-2446

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 Physician 208000000X NU Primary

Addresses

Primary practice location

155 East 38TH Street
Suite 2E
New York, NY 10016

Mailing address

155 East 38TH Street
Suite 2E
New York, NY 10016
Phone (212) 490-2446

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2209154Manhattan Queens Pediatrics PC155 East 38TH Street Suite 2E, New York, NY 10016Certificate of waiverJan 11, 2027

National Provider Directory

National Provider Directory

Locations

155 E 38th St
Apt 2E
New York, NY 10016
Phone (212) 490-2446

Practitioners & affiliated clinicians

Practitioners 5

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": "1538438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538438400000",
    "number": "1053896332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 EAST 38TH STREET",
            "address_2": "SUITE 2E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10016",
            "telephone_number": "212-490-2446",
            "fax_number": "212-599-2376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 EAST 38TH STREET",
            "address_2": "SUITE 2E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10016",
            "telephone_number": "212-490-2446",
            "fax_number": "212-599-2376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANHATTAN QUEENS PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-02",
        "last_updated": "2018-10-02",
        "status": "A",
        "authorized_official_last_name": "GUIDERA",
        "authorized_official_first_name": "BLAIR",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-490-2446",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.