Pediatric Family MDPC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

PEDIATRIC FAMILY MDPC

Practice address

3752 82ND St
2ND FL.
Jackson Heights, NY 11372-7032

Phone

(718) 779-5855

Fax

(718) 779-1053

NPI assigned

Jan 10, 2007

Organization subpart

No

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

Authorized official

Name

Hector Antonio Valencia, M.D.NPI 1366591679

Title

Owner

Phone

(718) 779-5855

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 4

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

• Hector Antonio Valencia, M.D.

  • Pediatrics Physician
  • Jackson Heights, NY
  • NPI 1366591679
  NPD (past) Authorized official
• Lidia Garcia, M.D.

  • Pediatrics Physician
  • Jackson Heights, NY
  • NPI 1932428463
  NPD (past)
• David S Winter, M.D.

  • Pediatrics Physician
  • Jackson Heights, NY
  • NPI 1396895405
  NPD (past)
• Holanda P Bravo, M.D.

  • Pediatrics Physician
  • Passaic, NJ
  • NPI 1033268669
  NPD (past)

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104975796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3230 156TH ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113543326",
            "telephone_number": "718-779-5855",
            "fax_number": "718-779-1053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3752 82ND ST",
            "address_2": "2ND FL.",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113727032",
            "telephone_number": "718-779-5855",
            "fax_number": "718-779-1053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC FAMILY MDPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VALENCIA",
        "authorized_official_first_name": "HECTOR",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-779-5855",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01515008",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Valerie Paul, FNP
• Sabrina Paulino
• PD Mental Health Counseling of Queens County PLLC
• PD Mental Health Counseling of Western Queens PLLC
• PD the Center Corp
• Pediatrics for Queens & Kings
• Martha C Pedraza
• Pedro Pablo del Toro Baez M.D., P.C.
• Pedro Segarra Jr
• Peds, Inc

• Pediatrics Physician in Jackson Heights, NY
• Providers in Jackson Heights, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.