Queens Pediatric Care LLP

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

QUEENS PEDIATRIC CARE LLP

Practice address

15849 84 Street
Howard Beach, NY 11414

Phone

(718) 322-7425

Fax

(718) 323-5541

NPI assigned

Mar 21, 2007

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

Thomas Shim, MDNPI 1457422990

Title

Partner

Phone

(718) 322-7425

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Thomas Shim, MD

  • Pediatrics Physician
  • Howard Beach, NY
  • NPI 1457422990
  Authorized official Same address or phone

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356467641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15849 84 STREET",
            "city": "HOWARD BEACH",
            "state": "NY",
            "postal_code": "11414",
            "telephone_number": "718-322-7425",
            "fax_number": "718-323-5541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15849 84 STREET",
            "city": "HOWARD BEACH",
            "state": "NY",
            "postal_code": "11414",
            "telephone_number": "718-322-7425",
            "fax_number": "718-323-5541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEENS PEDIATRIC CARE LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHIM",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "718-322-7425",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Genevieve PO, PT
• Natalie Postelnek, MS; SAS
• Nina Potapenkova, P.T.
• Angela Prestigiacomo
• Prohealth Dental PLLC
• Queens Perioperative Medical Associates, PLLC
• Prova Humaira Qurashi, PA-C
• Erica Ann Rad
• Raffi Barsoumian MD Medical Treatments PC
• Shivani Rameshwar

• Pediatrics Physician in Howard Beach, NY
• Providers in Howard Beach, 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 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.