NPIMap

Organization Active NPI

Seaford Pediatrics

  • Pediatrics Physician
  • Seaford, NY
National Provider Identifier
1396298402
Registry record updated Jul 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
182864 Issued in NY
Legal business name
SEAFORD PEDIATRICS
Practice address
2245 Jackson Ave
Seaford, NY 11783-2646
Phone
(516) 826-5900
Fax
(516) 826-6039
NPI assigned
Jul 26, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2016

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

Authorized official

Name
Dr. David L. Meckes, D.O.NPI 1982700829
Title
Agent/Co-Owner
Phone
(516) 826-5900

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 182864 NY Primary

Addresses

Primary practice location

2245 Jackson Ave
Seaford, NY 11783-2646

Mailing address

2245 Jackson Ave
Seaford, NY 11783-2646
Phone (516) 826-5900

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
33D0935818Seaford Pediatrics PLLC2245 Jackson Avenue, Seaford, NY 11783Certificate of waiverOct 3, 2027

National Provider Directory

National Provider Directory

Locations

2245 Jackson Ave
Seaford, NY 11783
Phone (516) 826-5900

Practitioners & affiliated clinicians

Practitioners 9

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": "1469491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469491200000",
    "number": "1396298402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2245 JACKSON AVE",
            "city": "SEAFORD",
            "state": "NY",
            "postal_code": "117832646",
            "telephone_number": "516-826-5900",
            "fax_number": "516-826-6039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2245 JACKSON AVE",
            "city": "SEAFORD",
            "state": "NY",
            "postal_code": "117832646",
            "telephone_number": "516-826-5900",
            "fax_number": "516-826-6039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEAFORD PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-26",
        "last_updated": "2016-07-26",
        "status": "A",
        "authorized_official_last_name": "MECKES",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "AGENT/CO-OWNER",
        "authorized_official_telephone_number": "516-826-5900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "182864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seaford, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2016; 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.