Organization Active NPI

River Oaks Pediatrics

  • Pediatric Adolescent Medicine Physician
  • Dearborn Heights, MI
National Provider Identifier
1518185826
Registry record updated Dec 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
055667 Issued in MI
Legal business name
RIVER OAKS PEDIATRICS
Practice address
20211 Ann Arbor TRL
Dearborn Heights, MI 48127-2691
Phone
(313) 336-4444
Fax
(313) 336-2355
NPI assigned
Apr 23, 2007
Last updated
Dec 30, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2009

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

Authorized official

Name
Dr. Nazem A Alhusein, M.D
Title
Medical Director
Phone
(313) 336-4444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine Physician 2080A0000X 055667 MI Primary

Addresses

Primary practice location

20211 Ann Arbor TRL
Dearborn Heights, MI 48127-2691

Mailing address

20211 Ann Arbor TRL
Dearborn Heights, MI 48127-2691
Phone (313) 336-4444

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262131200000",
    "number": "1518185826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20211 ANN ARBOR TRL",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481272691",
            "telephone_number": "313-336-4444",
            "fax_number": "313-336-2355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20211 ANN ARBOR TRL",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481272691",
            "telephone_number": "313-336-4444",
            "fax_number": "313-336-2355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER OAKS PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2009-12-30",
        "status": "A",
        "authorized_official_last_name": "ALHUSEIN",
        "authorized_official_first_name": "NAZEM",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "313-336-4444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "MI",
            "license": "055667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.