Organization Active NPI

Bay Harbor Pediatrics

  • Pediatrics Physician
  • Bay Harbor Islands, FL
National Provider Identifier
1114816402
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
BAY HARBOR PEDIATRICS
Practice address
1111 Kane Concourse Ste 504
Bay Harbor Islands, FL 33154-2043
Phone
(645) 215-2600
Fax
(645) 215-3200
NPI assigned
Jul 1, 2025
Last updated
Aug 4, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2025

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

Authorized official

Name
Dr. Evan P Grabois, DONPI 1851920938
Title
Owner
Phone
(516) 646-9156

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 Physician 208000000X NU Primary

Addresses

Primary practice location

1111 Kane Concourse Ste 504
Bay Harbor Islands, FL 33154-2043

Mailing address

1111 Kane Concourse Ste 504
Bay Harbor Islands, FL 33154-2043
Phone (645) 215-2600

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2333081Bay Harbor Pediatrics1111 Kane Concourse, Suite 504, Bay Harbor Islands, FL 33154Certificate of waiverOct 28, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1751328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754265600000",
    "number": "1114816402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 KANE CONCOURSE STE 504",
            "city": "BAY HARBOR ISLANDS",
            "state": "FL",
            "postal_code": "331542043",
            "telephone_number": "645-215-2600",
            "fax_number": "645-215-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 KANE CONCOURSE STE 504",
            "city": "BAY HARBOR ISLANDS",
            "state": "FL",
            "postal_code": "331542043",
            "telephone_number": "645-215-2600",
            "fax_number": "645-215-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY HARBOR PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-01",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A",
        "authorized_official_last_name": "GRABOIS",
        "authorized_official_first_name": "EVAN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-646-9156",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Harbor Islands, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.