Main Street Pediatrics PC

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

Legal business name

MAIN STREET PEDIATRICS PC

Practice address

33 Gilbert St Ste 3
Cambridge, NY 12816-2644

Phone

(518) 677-8575

Fax

(518) 677-2580

NPI assigned

Aug 8, 2006

Last updated

Aug 22, 2020By 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

Dr. Seema B Chaudhari, M.D.NPI 1518946417

Title

President

Phone

(518) 677-8575

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Seema B Chaudhari, M.D.

  • Pediatric Adolescent Medicine Physician
  • Cambridge, NY
  • NPI 1518946417
  NPD (past) Authorized official
• Jeroy S Motsiff, P.N.P.

  • Pediatric Nurse Practitioner
  • Cambridge, NY
  • NPI 1467431866
  NPD (past)
• George E Ruta, M.D.

  • Pediatric Adolescent Medicine Physician
  • Cambridge, NY
  • NPI 1609855451
  NPD (past)

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326058199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 GILBERT ST STE 3",
            "city": "CAMBRIDGE",
            "state": "NY",
            "postal_code": "128162644",
            "telephone_number": "518-677-8575",
            "fax_number": "518-677-2580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 GILBERT ST STE 3",
            "city": "CAMBRIDGE",
            "state": "NY",
            "postal_code": "128162644",
            "telephone_number": "518-677-8575",
            "fax_number": "518-677-2580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN STREET PEDIATRICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHAUDHARI",
        "authorized_official_first_name": "SEEMA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "518-677-8575",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carissa M Lackey, MD, MPH
• Brooklynn Elaine Lee, MSW
• David Lester, RPH
• Michelle D Lester
• Kimberly Anne Lipka, RN
• Gerald A Moppert, M.D.
• Jeroy S Motsiff, P.N.P.
• Aydin O'Hearn
• Ohearns Pharmacy Inc
• Chris O'Brien Palinski, PSY D

• Pediatric Adolescent Medicine Physician in Cambridge, NY
• Providers in Cambridge, NY by specialty
• Pediatric Adolescent Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.