Organization Active NPI

Manhattan Valley Pediatrics

  • Pediatrics Physician
  • New York, NY
National Provider Identifier
1205482452
Registry record updated Aug 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
MANHATTAN VALLEY PEDIATRICS
Practice address
2637 Broadway
New York, NY 10025-5022
Phone
(917) 575-0133
Fax
(347) 274-3095
NPI assigned
Aug 14, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2019

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

Authorized official

Name
Dr. Judith Helaine Hoffman, MD
Title
Partner
Phone
(917) 575-0133

Specialties & licenses 1

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

Addresses

Primary practice location

2637 Broadway
New York, NY 10025-5022

Mailing address

1855 Adam Clayton Powell Jr Blvd Apt 6a
New York, NY 10026-2818
Phone (917) 575-0133

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2175626Manhattan Valley Pediatrics2637 Broadway, New York, NY 10025Certificate of waiverNov 24, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1565740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565740800000",
    "number": "1205482452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1855 ADAM CLAYTON POWELL JR BLVD APT 6A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100262818",
            "telephone_number": "917-575-0133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2637 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100255022",
            "telephone_number": "917-575-0133",
            "fax_number": "347-274-3095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANHATTAN VALLEY PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-14",
        "last_updated": "2019-08-14",
        "status": "A",
        "authorized_official_last_name": "HOFFMAN",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "HELAINE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "917-575-0133",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.