NPIMap

Organization Active NPI

Northeast Pediatric Associates, P.C.

  • Pediatrics Physician
  • Rochester Hills, MI
National Provider Identifier
1578504288
Registry record updated Oct 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
032605 Issued in MI
Legal business name
NORTHEAST PEDIATRIC ASSOCIATES, P.C.
Practice address
75 Barclay Cir
Suite 115
Rochester Hills, MI 48307-5820
Phone
(248) 856-6300
Fax
(248) 856-6303
NPI assigned
Jun 10, 2006
Last updated
Oct 13, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2014

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

Authorized official

Name
Dr. Avinash Chandra Chawla, M.D.NPI 1144212333
Title
Owner
Phone
(248) 856-6300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 032605 MI Primary

Addresses

Primary practice location

75 Barclay Cir
Suite 115
Rochester Hills, MI 48307-5820

Mailing address

75 Barclay Cir
Suite 115
Rochester Hills, MI 48307-5820
Phone (248) 856-6300

Other identifiers 5

IdentifierTypeStateIssuer
SA078409OtherMISTATE LICENSE
KH074131OtherMISTATE LICENSE
SL068132OtherMISTATE LICENSE
AC032605OtherMISTATE LICENSE
TS039701OtherMISTATE LICENSE

National Provider Directory

National Provider Directory

Locations

75 Barclay Cir
Ste 115
Rochester Hills, MI 48307
Phone (248) 856-6300

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413158400000",
    "number": "1578504288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 BARCLAY CIR",
            "address_2": "SUITE 115",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483075820",
            "telephone_number": "248-856-6300",
            "fax_number": "248-856-6303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 BARCLAY CIR",
            "address_2": "SUITE 115",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483075820",
            "telephone_number": "248-856-6300",
            "fax_number": "248-856-6303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST PEDIATRIC ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2014-10-13",
        "status": "A",
        "authorized_official_last_name": "CHAWLA",
        "authorized_official_first_name": "AVINASH",
        "authorized_official_middle_name": "CHANDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-856-6300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "032605",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "SA078409",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "KH074131",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "SL068132",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "AC032605",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "TS039701",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2014; 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.