Organization Active NPI

Citywide Pediatrics PLLC

  • Pediatrics Physician
  • Elmhurst, NY
National Provider Identifier
1508332602
Registry record updated Oct 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
CITYWIDE PEDIATRICS PLLC
Practice address
4033 76TH St Ste 1
Elmhurst, NY 11373-1036
Phone
(718) 708-3618
NPI assigned
Oct 17, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2018

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

Authorized official

Name
Dr. Ashutosh Das, MD
Title
MD/Pediatrician
Phone
(718) 708-3618

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

4033 76TH St Ste 1
Elmhurst, NY 11373-1036

Mailing address

353 E 83Rd St Apt 21F
New York, NY 10028-4341
Phone (718) 708-3618

National Provider Directory

National Provider Directory

Locations

4033 76th St
Ste 1
Elmhurst, NY 11373
Phone (718) 708-3618

NPI Registry JSON

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

{
    "created_epoch": "1539734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540512000000",
    "number": "1508332602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 E 83RD ST APT 21F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100284341",
            "telephone_number": "718-708-3618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4033 76TH ST STE 1",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113731036",
            "telephone_number": "718-708-3618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITYWIDE PEDIATRICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-17",
        "last_updated": "2018-10-26",
        "status": "A",
        "authorized_official_last_name": "DAS",
        "authorized_official_first_name": "ASHUTOSH",
        "authorized_official_title_or_position": "MD/PEDIATRICIAN",
        "authorized_official_telephone_number": "718-708-3618",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2018; 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.