Northeast Cornerstone Pediatrics,PA

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

L9596 Issued in TX

Legal business name

NORTHEAST CORNERSTONE PEDIATRICS,PA

Doing business as

NEC Pediatrics

Practice address

10755 Kenworthy St
El Paso, TX 79924-1717

Phone

(915) 821-5900

Fax

(915) 821-5902

NPI assigned

Jan 17, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Akintoluwa Anthony Akinjaiyeju, MD

Title

President

Phone

(915) 821-5900

Specialties & licenses 1

Addresses

Other names 1

• NEC Pediatrics Doing business as

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

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321833600000",
    "number": "1578615704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10755 KENWORTHY ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799241717",
            "telephone_number": "915-821-5900",
            "fax_number": "915-821-5902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10755 KENWORTHY ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799241717",
            "telephone_number": "915-821-5900",
            "fax_number": "915-821-5902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST CORNERSTONE PEDIATRICS,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2011-11-21",
        "status": "A",
        "authorized_official_last_name": "AKINJAIYEJU",
        "authorized_official_first_name": "AKINTOLUWA",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "915-821-5900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "L9596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NEC Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pediatrics Physician in El Paso, TX
• Providers in El Paso, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2011; 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.