Pedro G Joven MD PC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

104946 Issued in NY

Legal business name

PEDRO G JOVEN MD PC

Practice address

162 George Urban Blvd
Cheektowaga, NY 14225-3004

Phone

(716) 895-6826

Fax

(716) 895-1397

NPI assigned

Jun 1, 2008

Organization subpart

No

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

Authorized official

Name

Pedro G Joven, MD

Title

MD

Phone

(716) 895-6826

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1212278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216080000000",
    "number": "1114185584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162 GEORGE URBAN BLVD",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142253004",
            "telephone_number": "716-895-6826",
            "fax_number": "716-895-1397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 GEORGE URBAN BLVD",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142253004",
            "telephone_number": "716-895-6826",
            "fax_number": "716-895-1397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDRO G JOVEN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-01",
        "last_updated": "2008-07-15",
        "status": "A",
        "authorized_official_last_name": "JOVEN",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "716-895-6826",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "104946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Elaine Paulick, RN
• Mridul Mathor Pawlowski
• Avery Pearl-Frank, MSW
• Pediatric Psychology & Medicine of Western New York, PLLC
• Anne Pedrick
• Maria Graham Pedro, MSW
• Russell Pelton
• Nicole L Penkalski, L.M.T
• Angelita Perez, RN
• Stefan G Perkowski

• Primary Care Clinic/Center in Cheektowaga, NY
• Providers in Cheektowaga, 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 Jul 15, 2008; 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.