SK Pediatrics, PLLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

SK PEDIATRICS, PLLC

Doing business as

SuperKids Pediatrics

Practice address

9121 N Military TRL
Suite 102
Palm Beach Gardens, FL 33410-5984

Phone

(561) 619-2460

Fax

(561) 828-9311

NPI assigned

Jun 14, 2016

Last updated

Jun 14, 2016By 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

Dr. Lizaida Medina Candelaria, M.D.NPI 1942465216

Title

Office Manager

Phone

(561) 619-2460

Specialties & licenses 1

Addresses

Other names 1

• SuperKids Pediatrics Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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.

• Lizaida Medina Candelaria, M.D.

  • Pediatrics Physician
  • Palm Beach Gardens, FL
  • NPI 1942465216
  NPD (past) Authorized official

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

{
    "created_epoch": "1465862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465862400000",
    "number": "1467802074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9121 N MILITARY TRL",
            "address_2": "SUITE 102",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334105984",
            "telephone_number": "561-619-2460",
            "fax_number": "561-828-9311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9121 N MILITARY TRL",
            "address_2": "SUITE 102",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334105984",
            "telephone_number": "561-619-2460",
            "fax_number": "561-828-9311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SK PEDIATRICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-14",
        "last_updated": "2016-06-14",
        "status": "A",
        "authorized_official_last_name": "MEDINA CANDELARIA",
        "authorized_official_first_name": "LIZAIDA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "561-619-2460",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SuperKids Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Skirmante Sirvaitis, MD
• Mariann Sisco, PT
• Jenny Garretson Sitzer, LCSW
• Mandy Siu
• Kellie Sivewright, MSW, BSOCSCI
• Kerri Skikne, NP
• Skin Cancer Services, Inc.
• David Skopp, DDS
• Eden Skopp, DDS
• Katie Skopp, LCSW, CAP

• Pediatrics Physician in Palm Beach Gardens, FL
• Providers in Palm Beach Gardens, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.