Commack Comprehensive Pediatrics PLLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

188094 Issued in NY

Legal business name

COMMACK COMPREHENSIVE PEDIATRICS PLLC

Practice address

283 Commack Rd
Suite 325
Commack, NY 11725-6021

Phone

(631) 499-3588

Fax

(631) 499-3583

NPI assigned

May 31, 2006

Last updated

Sep 14, 2009By 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. Britta Kareen Mazur, DONPI 1770805921

Title

Pediatrician

Phone

(631) 499-3588

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Britta Kareen Mazur, DO

  • Pediatric Adolescent Medicine Physician
  • Commack, NY
  • NPI 1770805921
  NPD (past) Authorized official

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252886400000",
    "number": "1497702617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2171 JERICHO TPKE",
            "address_2": "SUITE 342",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117252937",
            "telephone_number": "631-499-3588",
            "fax_number": "631-499-3583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "283 COMMACK RD",
            "address_2": "SUITE 325",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117256021",
            "telephone_number": "631-499-3588",
            "fax_number": "631-499-3583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMACK COMPREHENSIVE PEDIATRICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-31",
        "last_updated": "2009-09-14",
        "status": "A",
        "authorized_official_last_name": "MAZUR",
        "authorized_official_first_name": "BRITTA",
        "authorized_official_middle_name": "KAREEN",
        "authorized_official_title_or_position": "PEDIATRICIAN",
        "authorized_official_telephone_number": "631-499-3588",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "188094",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01600215",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Randy Colabella, R.N.
• Commack Acupuncture and Physical Therapy PLLC
• Commack Acupuncture PC
• Commack Chemist Inc (Long Island Apothecary)
• Commack Chiropractic, PC
• Commack Consultation Center
• Commack Dental Associates, LLP
• Commack Dental Care PLLC (Your Smile Dental)
• Commack Dental Design PLLC
• Commack Drug and Surgical and Gifts (Final Pharmacy Inc)

• Pediatrics Physician in Commack, NY
• Providers in Commack, 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 Sep 14, 2009; 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.