Organization Active NPI

Lighthouse Pediatrics

  • Pediatrics Physician
  • Yorktown, VA
National Provider Identifier
1073403861
Registry record updated Jul 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
LIGHTHOUSE PEDIATRICS
Practice address
6420 George Washington Mem Hwy Ste B
Yorktown, VA 23692-2180
Phone
(757) 969-6544
NPI assigned
Jul 3, 2025
Last updated
Jul 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2025

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

Authorized official

Name
Juhi G. Raizada, MD
Title
Doctor
Phone
(973) 572-8892

Specialties & licenses 1

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

Addresses

Primary practice location

6420 George Washington Mem Hwy Ste B
Yorktown, VA 23692-2180

Mailing address

6420 George Washington Mem Hwy Ste B
Yorktown, VA 23692-2180
Phone (757) 969-6544

National Provider Directory

National Provider Directory

Locations

6420 George Washington Mem Hwy
Ste B
Yorktown, VA 23692
Phone (757) 969-6544

Practitioners & affiliated clinicians

Practitioners 1

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": "1751500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751500800000",
    "number": "1073403861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6420 GEORGE WASHINGTON MEM HWY STE B",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "236922180",
            "telephone_number": "757-969-6544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6420 GEORGE WASHINGTON MEM HWY STE B",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "236922180",
            "telephone_number": "757-969-6544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-03",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A",
        "authorized_official_last_name": "RAIZADA",
        "authorized_official_first_name": "JUHI",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "973-572-8892",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorktown, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2025; 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.