Life Pediatrics PLLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

150913 Issued in NY

Legal business name

LIFE PEDIATRICS PLLC

Practice address

161 Avenue of the Americas
13 TH Floor
New York, NY 10013-1205

Phone

(212) 627-1222

NPI assigned

Mar 28, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Peter Vaccaro, MD

Title

President

Phone

(212) 627-8870

Specialties & licenses 1

Addresses

Practitioners 2

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

• Martin Matsil Beitler, MD

  • Internal Medicine Physician
  • New York, NY
  • NPI 1265573372
  NPD (past)
• John Weiser, MD

  • Family Medicine Physician
  • New York, NY
  • NPI 1790779973
  NPD (past)

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124147186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 W 22ND ST",
            "address_2": "APT 11",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100112477",
            "telephone_number": "212-627-8870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 AVENUE OF THE AMERICAS",
            "address_2": "13 TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100131205",
            "telephone_number": "212-627-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE PEDIATRICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VACCARO",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-627-8870",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "150913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Life Bridge Dental PLLC
• Life Care Nephrology Group L.L.P
• Life Chiropractic
• Life Edit Nutrition, LLC
• Life Lyrics Music Therapy LLC
• Life Pharma II Inc
• Life RX LLC
• Life Start
• Lifecare Dialysis Center Inc
• Lifecycle Therapeutic Services Limited Liability Company

• Pediatrics Physician in New York, NY
• Providers in New York, 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.