Northport Pediatrics PLLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

164129 Issued in NY

Legal business name

NORTHPORT PEDIATRICS PLLC

Practice address

351 Larkfield Rd
East Northport, NY 11731-2940

Phone

(631) 875-1478

NPI assigned

Nov 25, 2015

Organization subpart

No

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

Authorized official

Name

Brian Keifer

Title

Office Manager

Phone

(631) 875-1478

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Susan Gunduz, MD

  • Pediatrics Physician
  • Northport, NY
  • NPI 1255426110
  NPD (past)

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

{
    "created_epoch": "1448409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448841600000",
    "number": "1164896346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 LARKFIELD RD",
            "city": "EAST NORTHPORT",
            "state": "NY",
            "postal_code": "117312940",
            "telephone_number": "631-875-1478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 LARKFIELD RD",
            "city": "EAST NORTHPORT",
            "state": "NY",
            "postal_code": "117312940",
            "telephone_number": "631-875-1478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHPORT PEDIATRICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-25",
        "last_updated": "2015-11-30",
        "status": "A",
        "authorized_official_last_name": "KEIFER",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "631-875-1478"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "164129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Mary Newton, M.S. CCC
• Robin Ann Nicoletto
• Nicholas Norchi
• Laurie Nordby
• Northeast Podiatry Assoc PC
• Walter Anthony Nowicki
• Nutrition in Motion
• Julianna Okpych
• Rebecca Olsen
• Meredith Olster, LCSW

• Pediatrics Physician in East Northport, NY
• Providers in East Northport, 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 Nov 30, 2015; 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.