Active NPI
Preferred Pediatrics of Rockland, LLC
- Specialist
- Suffern, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 100063
- Legal business name
- PREFERRED PEDIATRICS OF ROCKLAND, LLC
- Practice address
- 100 Route 59
Suite 104
Suffern, NY 10901-4927 - Phone
- (845) 357-5020
- Fax
- (845) 357-5033
- NPI assigned
- Jan 25, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Richard Sirop, M.D.
- Title
- Delegated Official
- Phone
- (845) 357-5020
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 100063 | NY | Primary |
Addresses
Primary practice location
100 Route 59
Suite 104
Suffern, NY 10901-4927
Mailing address
100 Route 59
Suite 104
Suffern, NY 10901-4927
Phone (845) 357-5020
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0048210 | Other | NY | AETNA HMO GROUP# |
| 7868161 | Other | NY | AETNA PPO GROUP # |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D0141173 | Preferred Pediatrics of Rockland, LLC | Certificate of waiver | Jun 27, 2027 |
National Provider Directory
National Provider DirectoryLocations
100 Route 59
Ste 104
Suffern, NY 10901
Phone (845) 357-5020
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- Suffern, NY
- NPI 1023185840
-
- Nurse Practitioner
- Suffern, NJ
- NPI 1316911555
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208649600000",
"number": "1063568053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 ROUTE 59",
"address_2": "SUITE 104",
"city": "SUFFERN",
"state": "NY",
"postal_code": "109014927",
"telephone_number": "845-357-5020",
"fax_number": "845-357-5033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 ROUTE 59",
"address_2": "SUITE 104",
"city": "SUFFERN",
"state": "NY",
"postal_code": "109014927",
"telephone_number": "845-357-5020",
"fax_number": "845-357-5033"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREFERRED PEDIATRICS OF ROCKLAND, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-25",
"last_updated": "2008-04-20",
"status": "A",
"authorized_official_last_name": "SIROP",
"authorized_official_first_name": "RICHARD",
"authorized_official_title_or_position": "DELEGATED OFFICIAL",
"authorized_official_telephone_number": "845-357-5020",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "NY",
"license": "100063",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO GROUP#",
"identifier": "0048210",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO GROUP #",
"identifier": "7868161",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Suffern, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.