Organization Active NPI

Alaaeldin Pediatrics, P.C.

  • Specialist
  • West Babylon, NY
National Provider Identifier
1093033904
Registry record updated May 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
232607 Issued in NY
Legal business name
ALAAELDIN PEDIATRICS, P.C.
Practice address
393 Sunrise Hwy
Suite 2
West Babylon, NY 11704-5909
Phone
(631) 504-5755
NPI assigned
May 17, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2010

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

Authorized official

Name
Dr. Alaaeldin F Moawad, M.D.NPI 1396835047
Title
Medical Director
Phone
(631) 504-5755

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
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 232607 NY Primary

Addresses

Primary practice location

393 Sunrise Hwy
Suite 2
West Babylon, NY 11704-5909

Mailing address

393 Sunrise Hwy
Suite 2
West Babylon, NY 11704-5909
Phone (631) 504-5755

National Provider Directory

National Provider Directory

Locations

393 Sunrise Hwy
Ste 2
West Babylon, NY 11704
Phone (631) 504-5755

Practitioners & affiliated clinicians

Practitioners 2

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": "1274054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274054400000",
    "number": "1093033904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "393 SUNRISE HWY",
            "address_2": "SUITE 2",
            "city": "WEST BABYLON",
            "state": "NY",
            "postal_code": "117045909",
            "telephone_number": "631-504-5755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "393 SUNRISE HWY",
            "address_2": "SUITE 2",
            "city": "WEST BABYLON",
            "state": "NY",
            "postal_code": "117045909",
            "telephone_number": "631-504-5755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAAELDIN PEDIATRICS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-17",
        "last_updated": "2010-05-17",
        "status": "A",
        "authorized_official_last_name": "MOAWAD",
        "authorized_official_first_name": "ALAAELDIN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "631-504-5755",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "232607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Babylon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2010; 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.