NPIMap

Organization Active NPI

Kids Care Pediatrics

  • Pediatrics Physician
  • Selden, NY
National Provider Identifier
1093717993
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
KIDS CARE PEDIATRICS
Practice address
239 Boyle Rd
Ste 7
Selden, NY 11784-1955
Phone
(631) 698-0600
Fax
(631) 698-2212
NPI assigned
Aug 11, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Anna Schwartz, MDNPI 1871590687
Title
Doctor General Partner
Phone
(631) 698-0600

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 NY Primary

Addresses

Primary practice location

239 Boyle Rd
Ste 7
Selden, NY 11784-1955

Mailing address

239 Boyle Rd
Ste 7
Selden, NY 11784-1955
Phone (631) 698-0600

Other names 1

  • Dvorken, Aloni, Lustik & Schwartz MD PC Former legal business name

National Provider Directory

National Provider Directory

Locations

239 Boyle Rd
Ste 7
Selden, NY 11784
Phone (631) 698-0600

Practitioners & affiliated clinicians

Practitioners 5

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": "1123718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1093717993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 BOYLE RD",
            "address_2": "STE 7",
            "city": "SELDEN",
            "state": "NY",
            "postal_code": "117841955",
            "telephone_number": "631-698-0600",
            "fax_number": "631-698-2212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 BOYLE RD",
            "address_2": "STE 7",
            "city": "SELDEN",
            "state": "NY",
            "postal_code": "117841955",
            "telephone_number": "631-698-0600",
            "fax_number": "631-698-2212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS CARE PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-11",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZ",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "DOCTOR GENERAL PARTNER",
        "authorized_official_telephone_number": "631-698-0600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dvorken, Aloni, Lustik & Schwartz MD PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Selden, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.