Active NPI
All Star Pediatrics PLLC
- Pediatrics Physician
- Peekskill, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 258602
- Legal business name
- ALL STAR PEDIATRICS PLLC
- Practice address
- 2 Stowe Rd Ste 11
Peekskill, NY 10566-2582 - Phone
- (914) 737-4222
- NPI assigned
- Oct 30, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Azza Abdel-Hamid Abo-Deeb, MD
- Title
- Owner
- Phone
- (914) 737-4222
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 258602 | NY | Primary |
Addresses
Primary practice location
2 Stowe Rd Ste 11
Peekskill, NY 10566-2582
Mailing address
2 Stowe Rd Ste 11
Peekskill, NY 10566-2582
Phone (914) 737-4222
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02817105 | Medicaid | NY |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D0911078 | All Star Pediatrics | Certificate of waiver | Jan 24, 2028 |
National Provider Directory
National Provider DirectoryLocations
2 Stowe Rd
Ste 11
Peekskill, NY 10566
Phone (914) 734-7889
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- Peekskill, NY
- NPI 1194808212
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477785600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1578009600000",
"number": "1609328202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 STOWE RD STE 11",
"city": "PEEKSKILL",
"state": "NY",
"postal_code": "105662582",
"telephone_number": "914-737-4222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 STOWE RD STE 11",
"city": "PEEKSKILL",
"state": "NY",
"postal_code": "105662582",
"telephone_number": "914-737-4222"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALL STAR PEDIATRICS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-10-30",
"last_updated": "2020-01-03",
"certification_date": "2020-01-03",
"status": "A",
"authorized_official_last_name": "ABO-DEEB",
"authorized_official_first_name": "AZZA",
"authorized_official_middle_name": "ABDEL-HAMID",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "914-737-4222",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "NY",
"license": "258602",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02817105",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Peekskill, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2020; 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.