May Healthy Kids Pediatric, P.C

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

244985 Issued in NY

Legal business name

MAY HEALTHY KIDS PEDIATRIC, P.C

Practice address

30-16 30TH Dr
Long Island City, NY 11102-1874

Phone

(408) 329-1304

NPI assigned

Oct 15, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Ivan Bradshaw

Title

Manager

Phone

(408) 329-1304

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1287100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287446400000",
    "number": "1295045805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1161 YORK AVE APT 3E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100657945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30-16 30TH DR",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111021874",
            "telephone_number": "408-329-1304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAY HEALTHY KIDS PEDIATRIC, P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-15",
        "last_updated": "2010-10-19",
        "status": "A",
        "authorized_official_last_name": "BRADSHAW",
        "authorized_official_first_name": "IVAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "408-329-1304",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "244985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kozue Matsuda
• Bella Mavashev, M.A. CCC-SLP
• Maxim of New York, LLC
• Juliane Maxwald-Shrey, MA, LP, CASAC
• Emily Maxwell, OTR/L
• Madeleine Marie May, PA-C
• Shideh Shafinoori Maybody, MD
• Angela V Mazza, RN
• Lisa Mazza, PA
• Camille Lauren Mazzaro, REGISTERED NURSE

• Pediatrics Physician in Long Island City, NY
• Providers in Long Island City, 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 Oct 19, 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.