Organization Active NPI

Orange Pediatric Care PC

  • Pediatrics Physician
  • New Windsor, NY
National Provider Identifier
1396808630
Registry record updated Oct 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
111375 Issued in NY
Legal business name
ORANGE PEDIATRIC CARE PC
Practice address
3206 Route 9W
Suite a
New Windsor, NY 12553
Phone
(845) 561-5227
Fax
(845) 561-6953
NPI assigned
Dec 18, 2006
Last updated
Oct 10, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2014

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

Authorized official

Name
Dr. Maria Bernardez, MD
Title
President
Phone
(845) 561-5227

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 111375 NY Primary

Addresses

Primary practice location

3206 Route 9W
Suite a
New Windsor, NY 12553

Mailing address

3206 Route 9W
Suite a
New Windsor, NY 12553
Phone (845) 561-5227

Other identifiers 1

IdentifierTypeStateIssuer
00506863MedicaidNY

National Provider Directory

National Provider Directory

Locations

3206 Route 9W
#A
New Windsor, NY 12553
Phone (845) 561-5227

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412899200000",
    "number": "1396808630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3206 ROUTE 9W",
            "address_2": "SUITE A",
            "city": "NEW WINDSOR",
            "state": "NY",
            "postal_code": "12553",
            "telephone_number": "845-561-5227",
            "fax_number": "845-561-6953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3206 ROUTE 9W",
            "address_2": "SUITE A",
            "city": "NEW WINDSOR",
            "state": "NY",
            "postal_code": "12553",
            "telephone_number": "845-561-5227",
            "fax_number": "845-561-6953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORANGE PEDIATRIC CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2014-10-10",
        "status": "A",
        "authorized_official_last_name": "BERNARDEZ",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-561-5227",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "111375",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00506863",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Windsor, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2014; 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.