Individual provider Active NPI

Lourdes Maria Pichay, M.D.

  • Pediatrics Physician
  • Staten Island, NY
National Provider Identifier
1497846737
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
175351 Issued in NY
Practice address
11 Park Hill CT
Staten Island, NY 10304-3613
Phone
(718) 876-6925
Fax
(718) 818-5911
NPI assigned
Sep 28, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 175351 NY Primary

Addresses

Primary practice location

11 Park Hill CT
Staten Island, NY 10304-3613

Mailing address

29 Pleasant Plains Ave
Staten Island, NY 10309-2713
Phone (718) 876-6925

Other identifiers 1

IdentifierTypeStateIssuer
01134647MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040510001279 NY Practitioner - Pediatric Medicine 8426047945

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Richmond University Medical Center Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497846737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 PLEASANT PLAINS AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103092713",
            "telephone_number": "718-876-6925",
            "fax_number": "718-818-5911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 PARK HILL CT",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103043613",
            "telephone_number": "718-876-6925",
            "fax_number": "718-818-5911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICHAY",
        "first_name": "LOURDES",
        "middle_name": "MARIA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "175351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01134647",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.