Kids Plus Pediatrics P.C.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

KIDS PLUS PEDIATRICS P.C.

Practice address

67 N Main St
New City, NY 10956-3700

Phone

(845) 634-8911

NPI assigned

Jul 30, 2010

Last updated

Feb 21, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mary Mallavarapu, MD

Title

President

Phone

(845) 634-8911

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1280448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361404800000",
    "number": "1316251416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 N MAIN ST",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109563700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 N MAIN ST",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109563700",
            "telephone_number": "845-634-8911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS PLUS PEDIATRICS P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-30",
        "last_updated": "2013-02-21",
        "status": "A",
        "authorized_official_last_name": "MALLAVARAPU",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-634-8911",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00515435",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher Kelly
• Debra A Kelly, LPN
• Irene Kelly, MD
• Jacqueline Rose Kelly
• Jane Ellen Kelman, MD
• Michele Kiely, OTR/L
• Esther Reena Kiffel, MD
• Sean Kilkenny, PTA
• Sooheui Kim, PT
• Carol H King, LCSW

• Pediatrics Physician in New City, NY
• Providers in New 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 Feb 21, 2013; 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.