Neighborhood Pediatrics of Si PC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

214867 Issued in NY

Legal business name

NEIGHBORHOOD PEDIATRICS OF SI PC

Practice address

3090 Richmond Rd
Staten Island, NY 10306-1937

Phone

(718) 351-1949

Fax

(718) 351-2569

NPI assigned

Dec 29, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Inna Khval, M.D.NPI 1134150063

Title

President

Phone

(718) 351-1949

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Inna Khval, MD

  • Pediatrics Physician
  • Staten Island, NY
  • NPI 1134150063
  NPD (past) Authorized official
• Mariam Machabeli, MD

  • Pediatric Adolescent Medicine Physician
  • Brooklyn, NY
  • NPI 1962837377
  NPD (past)

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

{
    "created_epoch": "1230508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230508800000",
    "number": "1407092257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3090 RICHMOND RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103061937",
            "telephone_number": "718-351-1949",
            "fax_number": "718-351-2569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3090 RICHMOND RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103061937",
            "telephone_number": "718-351-1949",
            "fax_number": "718-351-2569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIGHBORHOOD PEDIATRICS OF SI PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-29",
        "last_updated": "2008-12-29",
        "status": "A",
        "authorized_official_last_name": "KHVAL",
        "authorized_official_first_name": "INNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-351-1949",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "214867",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02129555",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexander Negron, NP
• Kimberly Neidenbach, MS, RD
• Neighborhood Change Youth Organization
• Neighborhood Change Youth Organization
• Neighborhood Change Youth Organization Inc
• Neil Nepola MD PC
• Gerilee Neilson
• Michael Nejat, MD
• Sarah Nekhala
• Nelpel Car Service Inc D/B/a Newport Car Service

• Pediatrics Physician in Staten Island, NY
• Providers in Staten Island, 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 Dec 29, 2008; 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.