Organization Active NPI

Boston Children's Health Physicians, LLP

  • Pediatrics Physician
  • Hawthorne, NY
National Provider Identifier
1467454967
Registry record updated Jul 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
BOSTON CHILDREN'S HEALTH PHYSICIANS, LLP
Practice address
19 Skyline Dr Ofc 1N-D06
Hawthorne, NY 10532
Phone
(914) 594-2100
NPI assigned
Aug 15, 2005
Last updated
Jul 9, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2021

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

Authorized official

Name
Mr. Robert Shaw
Title
Chief Operating Officer
Phone
(914) 594-2392

Specialties & licenses 13

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X NY Primary
Pediatric Adolescent Medicine Physician 2080A0000X NY
Neonatal-Perinatal Medicine Physician 2080N0001X NY
Developmental - Behavioral Pediatrics Physician 2080P0006X NY
Pediatric Allergy/Immunology Physician 2080P0201X NY
Pediatric Cardiology Physician 2080P0202X NY
Pediatric Critical Care Medicine Physician 2080P0203X NY
Pediatric Endocrinology Physician 2080P0205X NY
Pediatric Gastroenterology Physician 2080P0206X NY
Pediatric Hematology & Oncology Physician 2080P0207X NY
Pediatric Pulmonology Physician 2080P0214X NY
Child & Adolescent Psychiatry Physician 2084P0804X NY
Early Intervention Provider Agency 252Y00000X

Addresses

Primary practice location

19 Skyline Dr Ofc 1N-D06
Hawthorne, NY 10532

Mailing address

40 Sunshine Cottage Rd Ofc 1N-D06
Valhalla, NY 10595-1524
Phone (914) 594-2100

Other practice location 1

19 Bradhurst Ave
Ste 1400
Hawthorne, NY 10532-2140
Phone (914) 594-2392

Other practice location 2

19 Bradhurst Ave
Ste 1400
Hawthorne, NY 10532-2140
Phone (914) 594-2392

Other identifiers 3

IdentifierTypeStateIssuer
003128437MedicaidCT
0198498MedicaidNJ
02511604MedicaidNY

Other names 1

  • Children's & Womens Physicians of Westchester, LLP Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040311000864 NY Part B Supplier - Clinic/Group Practice 8325937014 Receives reassigned benefits from 509 practitioners

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
33D0681397Boston Children's Health Physicians LLP19 Bradhurst Ave - Suite 2850, Hawthorne, NY 10532Certificate of waiverMar 26, 2027
33D2085786Boston Children's Health Physicians LLP19 Bradhurst Ave, Suite 2850S, Hawthorne, NY 10532Certificate of waiverMar 26, 2027
33D2127325Boston Children's Health Physicians19 Bradhurst Avenue, Hawthorne, NY 10532Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations (25 of 110)

2660 W Covell Blvd
Ste B
Davis, CA 95616
Phone (530) 747-3000

4920 Main St
Ste 200
Bridgeport, CT 06606
Phone (203) 374-1515

2 Old New Milford Rd
Ofc Ctr
Brookfield, CT 06804

111 Osborne St
Fl 2
Danbury, CT 06810
Phone (203) 533-1344

24 Hospital Ave
Fl 2
Danbury, CT 06810

67 Sand Pit Rd
Ste 204
Danbury, CT 06810

95 Locust Ave
Danbury, CT 06810
Phone (203) 739-7029

239 Glenville Rd
Greenwich, CT 06831
Phone (203) 531-1932

5 Perryridge Rd
Fl 2
Greenwich, CT 06830
Phone (203) 863-3500

30 Stevens St
Ste F
Norwalk, CT 06850
Phone (203) 563-0230

761 Main Ave
Ste 1125
Norwalk, CT 06851

1800 E Putnam Ave
Old Greenwich, CT 06870

111 N Orange Ave
Orlando, FL 32801
Phone (407) 556-9465

140 Lockwood St
Newark, NJ 07105

529 Route 515
Ste 104
Vernon, NJ 07462
Phone (201) 317-3768

179 Cahill Cross Rd
Ste 311
West Milford, NJ 07480

266 N St
Ste B
Albany, NY 12250

701 Bedford Rd
Ste B
Bedford Hills, NY 10507
Phone (914) 666-5100

263 N Brewster Rd
Brewster, NY 10509
Phone (845) 279-3998

466 N Main St
Brewster, NY 10509

111 E 210th St
#D
Bronx, NY 10467
Phone (718) 920-2802

1250 Waters Pl
#S1206
Bronx, NY 10461

2711 Henry Hudson Pkwy
Apt 1F
Bronx, NY 10463
Phone (718) 549-6229

3765 Riverdale Ave
Bronx, NY 10463
Phone (718) 432-2020

4350 Van Cortlandt Park E
Bronx, NY 10470
Phone (718) 231-6565

Practitioners & affiliated clinicians

Practitioners 648

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.

View all 648

NPI Registry JSON

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625788800000",
    "number": "1467454967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 SUNSHINE COTTAGE RD OFC 1N-D06",
            "city": "VALHALLA",
            "state": "NY",
            "postal_code": "105951524",
            "telephone_number": "914-594-2100",
            "fax_number": "914-593-1790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 SKYLINE DR OFC 1N-D06",
            "city": "HAWTHORNE",
            "state": "NY",
            "postal_code": "10532",
            "telephone_number": "914-594-2100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19 Bradhurst Ave",
            "address_2": "Ste 1400",
            "address_purpose": "LOCATION",
            "city": "Hawthorne",
            "state": "NY",
            "postal_code": "105322140",
            "country_code": "US",
            "telephone_number": "914-594-2392",
            "fax_number": "914-594-2393",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19 Bradhurst Ave",
            "address_2": "Ste 1400",
            "address_purpose": "LOCATION",
            "city": "Hawthorne",
            "state": "NY",
            "postal_code": "105322140",
            "country_code": "US",
            "telephone_number": "914-594-2392",
            "fax_number": "914-594-2393",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BOSTON CHILDREN'S HEALTH PHYSICIANS, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-15",
        "last_updated": "2021-07-09",
        "certification_date": "2021-07-09",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "914-594-2392",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": null,
            "primary": true
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0006X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0201X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Allergy/Immunology",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0207X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0214X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Pulmonology",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003128437",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0198498",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02511604",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Children's & Womens Physicians of Westchester, LLP",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Children's & Womens Physicians of Westchester, LLP",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Hawthorne, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.