Organization Active NPI

Concierge Pediatrics, PC

  • Pediatrics Physician
  • Roslyn, NY
National Provider Identifier
1265155295
Registry record updated Sep 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
CONCIERGE PEDIATRICS, PC
Practice address
1520 Old Northern Blvd
Roslyn, NY 11576-1126
Phone
(516) 514-7337
NPI assigned
Sep 23, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2022

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

Authorized official

Name
Dr. Jonathan Jassey, DONPI 1689887705
Title
President
Phone
(516) 316-8509

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1520 Old Northern Blvd
Roslyn, NY 11576-1126

Mailing address

1520 Old Northern Blvd
Roslyn, NY 11576-1126
Phone (516) 514-7337

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
33D2269961Concierge Pediatrics PC1520 Old Northern Blvd, Roslyn, NY 11576ComplianceJul 27, 2027

National Provider Directory

National Provider Directory

Locations

1520 Old Northern Blvd
Roslyn, NY 11576
Phone (516) 514-7337

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1663891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663891200000",
    "number": "1265155295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 OLD NORTHERN BLVD",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115761126",
            "telephone_number": "516-514-7337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 OLD NORTHERN BLVD",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115761126",
            "telephone_number": "516-514-7337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCIERGE PEDIATRICS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-23",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A",
        "authorized_official_last_name": "JASSEY",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-316-8509",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roslyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2022; 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.