North Baldwin Pediatrics, P.C

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

215758 Issued in NY

Legal business name

NORTH BALDWIN PEDIATRICS, P.C

Practice address

2010 Grand Ave
North Baldwin, NY 11510-2811

Phone

(516) 771-4582

Fax

(516) 771-4583

NPI assigned

Oct 29, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Marta Dinora Canales, MDNPI 1750372843

Title

President

Phone

(516) 771-4582

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marta Dinora Canales, MD

  • Pediatrics Physician
  • North Baldwin, NY
  • NPI 1750372843
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424390400000",
    "number": "1104817295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 440",
            "city": "NORTH BALDWIN",
            "state": "NY",
            "postal_code": "115100440",
            "telephone_number": "516-771-4582",
            "fax_number": "516-771-4583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 GRAND AVE",
            "city": "NORTH BALDWIN",
            "state": "NY",
            "postal_code": "115102811",
            "telephone_number": "516-771-4582",
            "fax_number": "516-771-4583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH BALDWIN PEDIATRICS, P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-29",
        "last_updated": "2015-02-20",
        "status": "A",
        "authorized_official_last_name": "CANALES",
        "authorized_official_first_name": "MARTA",
        "authorized_official_middle_name": "DINORA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-771-4582",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "215758",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2150085",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Olga Nasonova, RPH
• Neil Henry, LCSW, PC
• Tammy Leigh Neumann, M.A., SLP-CCC
• Nathalie Nicolas Jean Pierre, RN
• Marie Pegguy Nogais, MS SLP
• Paul Nuccio, DC
• Louis Ikechukwu Nwokeocha
• Alisa O'Brien, LMHC
• Kathleen A. O'Neill-Albert, RPH
• Adesuwa Lenora Obasuyi, M.D.

• Primary Care Clinic/Center in North Baldwin, NY
• Providers in North Baldwin, NY by specialty
• Primary Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2015; 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.