Community Pediatrician, PLLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

242088 Issued in NY

Legal business name

COMMUNITY PEDIATRICIAN, PLLC

Practice address

5314 Roosevelt Ave
2ND Floor
Woodside, NY 11377-4239

Phone

(718) 205-6160

Fax

(718) 205-6180

NPI assigned

Apr 17, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Anca M Barbulescu, MD

Title

Pediatrician

Phone

(718) 205-6160

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1366156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366156800000",
    "number": "1114361482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5314 ROOSEVELT AVE",
            "address_2": "2ND FLOOR",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113774239",
            "telephone_number": "718-205-6160",
            "fax_number": "718-205-6180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5314 ROOSEVELT AVE",
            "address_2": "2ND FLOOR",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113774239",
            "telephone_number": "718-205-6160",
            "fax_number": "718-205-6180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY PEDIATRICIAN, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-17",
        "last_updated": "2013-04-17",
        "status": "A",
        "authorized_official_last_name": "BARBULESCU",
        "authorized_official_first_name": "ANCA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PEDIATRICIAN",
        "authorized_official_telephone_number": "718-205-6160",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "242088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana Cohen
• Stacyann T Coley, LMSW
• Jeovanna Nathalie Coloma, LCSW
• Magda Eunice Colon, PT
• Mayra Colon, LCSW
• Amado E Conanan, P.T.
• Martha Concha
• Jose Confesor
• Eliammy Patricia Contreras
• Larette Denise Cooper, BA

• Pediatrics Physician in Woodside, NY
• Providers in Woodside, 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 Apr 17, 2013; 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.