Wakefield Pediatrics,PLLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

WAKEFIELD PEDIATRICS,PLLC

Practice address

4813 White Plains Rd
Bronx, NY 10470-1101

Phone

(718) 882-2835

Fax

(718) 882-8176

NPI assigned

Mar 16, 2008

Organization subpart

No

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

Authorized official

Name

Philip Owusu-Ansah, MDNPI 1558447839

Title

Member

Phone

(718) 882-2835

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Philip Owusu-Ansah, MD

  • Pediatrics Physician
  • Bronx, NY
  • NPI 1558447839
  NPD (past) Authorized official

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

{
    "created_epoch": "1205625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472774400000",
    "number": "1558532796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4813 WHITE PLAINS RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104701101",
            "telephone_number": "718-882-2835",
            "fax_number": "718-882-8176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4813 WHITE PLAINS RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104701101",
            "telephone_number": "718-882-2835",
            "fax_number": "718-882-8176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAKEFIELD PEDIATRICS,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-16",
        "last_updated": "2016-09-02",
        "status": "A",
        "authorized_official_last_name": "OWUSU-ANSAH",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "718-882-2835",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ambreen Wajid, DO
• Wakefield Drugs Inc
• Wakefield Eye Care, PLLC
• Wakefield Leasing and Maintenance Corp (Always Dependable Car Service)
• Wakefield Medical Professionals, P.C.
• Kathleen Wakeham, L.C.S.W.
• Joy Faith Walbrook
• Altrovise Melissa Walcott, B.A, CASAC-T
• Andre Walcott
• Leonor Walcott

• Clinic/Center in Bronx, NY
• Providers in Bronx, NY by specialty
• Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2016; 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.