NPIMap

Organization Active NPI

Arthur Avenue Pediatrics PC

  • Pediatrics Physician
  • Bronx, NY
National Provider Identifier
1609090018
Registry record updated Jan 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
ARTHUR AVENUE PEDIATRICS PC
Practice address
2385 Arthur Ave
Suite #206
Bronx, NY 10458-8184
Phone
(718) 220-9755
Fax
(718) 220-9757
NPI assigned
Apr 13, 2007
Last updated
Jan 25, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
NEW YORK BRONX PEDIATRIC MEDICINE PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 25, 2012

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

Authorized official

Name
Karen Josette Greer, M.D.
Title
Medical Director
Phone
(718) 220-9755

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X Primary
Developmental - Behavioral Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2080P0006X

Addresses

Primary practice location

2385 Arthur Ave
Suite #206
Bronx, NY 10458-8184

Mailing address

2385 Arthur Ave
Suite #206
Bronx, NY 10458-8184
Phone (718) 220-9755

Other identifiers 1

IdentifierTypeStateIssuer
02785642MedicaidNY

National Provider Directory

National Provider Directory
Part of
Ny Bronx Pediatric Medi

Practitioners & affiliated clinicians

Practitioners 7

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": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327449600000",
    "number": "1609090018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2385 ARTHUR AVE",
            "address_2": "SUITE #206",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104588184",
            "telephone_number": "718-220-9755",
            "fax_number": "718-220-9757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2385 ARTHUR AVE",
            "address_2": "SUITE #206",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104588184",
            "telephone_number": "718-220-9755",
            "fax_number": "718-220-9757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARTHUR AVENUE PEDIATRICS PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEW YORK BRONX PEDIATRIC MEDICINE PC",
        "enumeration_date": "2007-04-13",
        "last_updated": "2012-01-25",
        "status": "A",
        "authorized_official_last_name": "GREER",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "JOSETTE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "718-220-9755",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2080P0006X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02785642",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2012; 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.