Coastline Pediatric Cardiology, P.C.

Primary specialty

Pediatric Cardiology PhysicianTaxonomy code 2080P0202X

Legal business name

COASTLINE PEDIATRIC CARDIOLOGY, P.C.

Doing business as

Coastline Pediatric Cardiology

Practice address

4425 Jamboree Rd Ste 129
Newport Beach, CA 92660-3002

Phone

(914) 262-3351

NPI assigned

Jan 17, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Justin Pick, MDNPI 1639557150

Title

Chief Medical Officer

Phone

(914) 262-3351

Specialties & licenses 1

Addresses

Other names 1

• Coastline Pediatric Cardiology Doing business as

Locations

Practitioners 1

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

• Justin M Pick, M.D.

  • Pediatric Cardiology Physician
  • Flushing, NY
  • NPI 1639557150
  NPD Authorized official

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

{
    "created_epoch": "1705449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705449600000",
    "number": "1164283180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 21ST ST STE R",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958115226",
            "telephone_number": "914-262-3351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4425 JAMBOREE RD STE 129",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926603002",
            "telephone_number": "914-262-3351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTLINE PEDIATRIC CARDIOLOGY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-17",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A",
        "authorized_official_last_name": "PICK",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "914-262-3351",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastline Pediatric Cardiology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Coastal Spine and Orthopedics Specialist, Inc
• Coastal Vascular Medicine Inc
• Jason Coble, P.T.
• Ashley Coccaro, LMFT
• Rachel Pons Codde, AMFT
• Shelly Rose Coe, M.D.
• Cognoa, Inc.

• Pediatric Cardiology Physician in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Pediatric Cardiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; 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.