Strong Children Wellness Medical Group, PLLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

STRONG CHILDREN WELLNESS MEDICAL GROUP, PLLC

Practice address

16318 Jamaica Ave Ste 2
Jamaica, NY 11432-4901

Phone

(718) 450-9242

NPI assigned

Aug 16, 2019

Last updated

Jul 30, 2024By 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. Suzette N Brown, MDNPI 1508032533

Title

Chief Operating Officer

Phone

(919) 491-3448

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20670/brand/1/csg/1/fhir/r4

Practitioners 5

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.

• Suzette Brown, M.D.

  • Pediatrics Physician
  • Brooklyn, NY
  • NPI 1508032533
  Medicare reassignment NPD Authorized official
• Antonia P Eyssallenne, MD, PHD

  • Internal Medicine Physician
  • Flushing, NY
  • NPI 1255533311
  Medicare reassignment NPD
• Amanda L Young, NP

  • Family Nurse Practitioner
  • New York, NY
  • NPI 1407260508
  Medicare reassignment NPD
• Nicole Marie Brown, MD

  • Pediatrics Physician
  • Jamaica, NY
  • NPI 1134394323
  NPD
• Taylor J Drew, RN, BSN

  • Registered Nurse
  • Jamaica, NY
  • NPI 1013519057
  NPD

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

{
    "created_epoch": "1565913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722297600000",
    "number": "1528614369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 WOLF HILL RD",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117465742",
            "telephone_number": "919-491-3448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16318 JAMAICA AVE STE 2",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114324901",
            "telephone_number": "718-450-9242"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14015B Sanford Ave Fl 2",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "NY",
            "postal_code": "113552557",
            "country_code": "US",
            "telephone_number": "718-450-9242",
            "fax_number": "646-905-0404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "STRONG CHILDREN WELLNESS MEDICAL GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-16",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "SUZETTE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "919-491-3448",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03652733",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03524361",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kara I. Storck, M.D.
• Ilana Straus, DDS
• Ramraji Streater
• Sophia Streete Smalls, MD
• Kristen Strom, MD
• Effie Strouthides
• Abigail Stultz
• Johanne Stuppard
• Monica Monseray Suarez, LMSW
• Elaine J Suckram

• Pediatrics Physician in Jamaica, NY
• Providers in Jamaica, 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 Jul 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.