Rainbow Medical Home Pediatrics, LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

140437 Issued in NY

Legal business name

RAINBOW MEDICAL HOME PEDIATRICS, LLC

Practice address

4415 Buffalo Rd
North Chili, NY 14514-1024

Phone

(585) 594-5008

Fax

(585) 594-1003

NPI assigned

Aug 25, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Piush Sharma, MD

Title

Owner

Phone

(585) 594-5008

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1282694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282694400000",
    "number": "1215243449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4415 BUFFALO RD",
            "city": "NORTH CHILI",
            "state": "NY",
            "postal_code": "145141024",
            "telephone_number": "585-594-5008",
            "fax_number": "585-594-1003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4415 BUFFALO RD",
            "city": "NORTH CHILI",
            "state": "NY",
            "postal_code": "145141024",
            "telephone_number": "585-594-5008",
            "fax_number": "585-594-1003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAINBOW MEDICAL HOME PEDIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-25",
        "last_updated": "2010-08-25",
        "status": "A",
        "authorized_official_last_name": "SHARMA",
        "authorized_official_first_name": "PIUSH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-594-5008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "140437",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00456982",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vincent Panzera, DPT
• Henry M. Paszko, M.D.
• Shondell Lynette Peoples, LPN
• Jacob W Phillips, M.D.
• Katrina Phillips, RN
• Ashlyn Raines, DPT
• Alyssa Raniewicz, OTR/L
• Ethan Reff
• Casandra Reid
• Cheryl Repass, PSYD

• Pediatrics Physician in North Chili, NY
• Providers in North Chili, 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 Aug 25, 2010; 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.