Organization Active NPI

Bayside Pediatric Specialists P.C.

  • Pediatrics Physician
  • Bayside, NY
National Provider Identifier
1174727820
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
BAYSIDE PEDIATRIC SPECIALISTS P.C.
Practice address
2325 Bell Blvd
Bayside, NY 11360-2056
Phone
(718) 225-6464
Fax
(718) 225-9316
NPI assigned
Jun 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jonathan Horwitz, M.D
Title
President
Phone
(718) 225-6464

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

2325 Bell Blvd
Bayside, NY 11360-2056

Mailing address

2325 Bell Blvd
Bayside, NY 11360-2056
Phone (718) 225-6464

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174727820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2325 BELL BLVD",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113602056",
            "telephone_number": "718-225-6464",
            "fax_number": "718-225-9316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2325 BELL BLVD",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113602056",
            "telephone_number": "718-225-6464",
            "fax_number": "718-225-9316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYSIDE PEDIATRIC SPECIALISTS P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HORWITZ",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-225-6464",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayside, NY

Sources for this page

  • 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.