Organization Active NPI

Partners in Pediatrics PLLC

  • Pediatrics Physician
  • Suffern, NY
National Provider Identifier
1538436688
Registry record updated Jul 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
135645 Issued in NY
Legal business name
PARTNERS IN PEDIATRICS PLLC
Practice address
222 Route 59 Ste 306
Suffern, NY 10901-5208
Phone
(845) 368-0422
Fax
(845) 368-3224
NPI assigned
Nov 17, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2013

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

Authorized official

Name
Dr. J. Martin Gewirtz, M.D.
Title
Managing Partner
Phone
(845) 368-0422

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 135645 NY Primary

Addresses

Primary practice location

222 Route 59 Ste 306
Suffern, NY 10901-5208

Mailing address

222 Route 59 Ste 306
Suffern, NY 10901-5208
Phone (845) 368-0422

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1321488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375056000000",
    "number": "1538436688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 ROUTE 59 STE 306",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109015208",
            "telephone_number": "845-368-0422",
            "fax_number": "845-368-3224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 ROUTE 59 STE 306",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109015208",
            "telephone_number": "845-368-0422",
            "fax_number": "845-368-3224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARTNERS IN PEDIATRICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-17",
        "last_updated": "2013-07-29",
        "status": "A",
        "authorized_official_last_name": "GEWIRTZ",
        "authorized_official_first_name": "J. MARTIN",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "845-368-0422",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "135645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffern, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2013; 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.