Springfield Pediatric P. C.

Primary specialty

Pediatric Cardiology PhysicianTaxonomy code 2080P0202X

License

142782 Issued in NY

Legal business name

SPRINGFIELD PEDIATRIC P. C.

Practice address

23520 147TH Ave Ste 4
Rosedale, NY 11422-3293

Phone

(718) 712-2200

Fax

(718) 712-5666

NPI assigned

Oct 10, 2006

Organization subpart

No

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

Authorized official

Name

Habib Nazarian, M.D.

Title

Officer

Phone

(718) 712-2200

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313712000000",
    "number": "1174610091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23520 147TH AVENUE",
            "address_2": "SUITE 4",
            "city": "ROSEDALE",
            "state": "NY",
            "postal_code": "11422",
            "telephone_number": "718-712-2200",
            "fax_number": "718-712-5666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23520 147TH AVE STE 4",
            "city": "ROSEDALE",
            "state": "NY",
            "postal_code": "114223293",
            "telephone_number": "718-712-2200",
            "fax_number": "718-712-5666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGFIELD PEDIATRIC P. C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2011-08-19",
        "status": "A",
        "authorized_official_last_name": "NAZARIAN",
        "authorized_official_first_name": "HABIB",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "718-712-2200",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "NY",
            "license": "142782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00731035",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rosalind L Smith, RN629383
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• Samantha Spinelli, MS ED
• Springfield Med Asso PC
• Regine St. Leger
• Joanne M Stallings
• Starbright Employment Agency, Inc.
• Jacinta Rosemarie Sterling, MS.ED
• Rhonda Stokes, LPN

• Pediatric Cardiology Physician in Rosedale, NY
• Providers in Rosedale, NY by specialty
• Pediatric Cardiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2011; 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.