Organization Active NPI

Long Island Pedicatric Group

  • Pediatrics Physician
  • Cedarhurst, NY
National Provider Identifier
1609901115
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
LONG ISLAND PEDICATRIC GROUP
Practice address
571 Chestnut St
Cedarhurst, NY 11516-2223
Phone
(516) 569-2250
NPI assigned
Feb 23, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Joseph Rozenbaum, MDNPI 1295819423
Title
Pysician
Phone
(516) 569-2250

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X Primary

Addresses

Primary practice location

571 Chestnut St
Cedarhurst, NY 11516-2223

Mailing address

571 Chestnut St
Cedarhurst, NY 11516-2223

National Provider Directory

National Provider Directory

Locations

571 Chestnut St
Cedarhurst, NY 11516
Phone (516) 569-2250

Practitioners & affiliated clinicians

Practitioners 1

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": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609901115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "571 CHESTNUT ST",
            "city": "CEDARHURST",
            "state": "NY",
            "postal_code": "115162223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "571 CHESTNUT ST",
            "city": "CEDARHURST",
            "state": "NY",
            "postal_code": "115162223",
            "telephone_number": "516-569-2250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG ISLAND PEDICATRIC GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROZENBAUM",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PYSICIAN",
        "authorized_official_telephone_number": "516-569-2250",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedarhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.