Fallsburg Pediatrics PC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

333279 Issued in NY

Legal business name

FALLSBURG PEDIATRICS PC

Practice address

142 Laurel Park Rd
Fallsburg, NY 12733-5009

Phone

(845) 436-1850

Fax

(845) 436-1851

NPI assigned

Apr 28, 2011

Last updated

Jan 9, 2013By 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

Esther J Gottlieb, FNPNPI 1669639100

Title

Nurse Practitioner

Phone

(845) 436-1850

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Esther J Gottlieb, FNP

  • Family Health Clinical Nurse Specialist
  • Fallsburg, NY
  • NPI 1669639100
  NPD (past) Authorized official

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

{
    "created_epoch": "1303948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357689600000",
    "number": "1508157215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 LAUREL PARK RD",
            "city": "FALLSBURG",
            "state": "NY",
            "postal_code": "127335009",
            "telephone_number": "845-436-1850",
            "fax_number": "845-436-1851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 LAUREL PARK RD",
            "city": "FALLSBURG",
            "state": "NY",
            "postal_code": "127335009",
            "telephone_number": "845-436-1850",
            "fax_number": "845-436-1851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FALLSBURG PEDIATRICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-28",
        "last_updated": "2013-01-09",
        "status": "A",
        "authorized_official_last_name": "GOTTLIEB",
        "authorized_official_first_name": "ESTHER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "845-436-1850",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "333279",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02919359",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Catskill Mobile Medical Clinic
• Catskills Hatzalah Inc.
• Fallsburg Central School District
• Fallsburg Central School District
• Fallsburg CSD
• Fallsburg Quality Therapy, Corp.
• Brucha Malka Friedman
• Eryn Fritzsch
• Howard S Goldberg, M.D
• Leah Aliza Goldblatt, LMSW

• Pediatrics Physician in Fallsburg, NY
• Providers in Fallsburg, 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 Jan 9, 2013; 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.