Organization Active NPI

International Pediatrics Plus

  • Primary Care Clinic/Center
  • Jackson Heights, NY
National Provider Identifier
1629284237
Registry record updated Feb 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
INTERNATIONAL PEDIATRICS PLUS
Practice address
9320A Roosevelt Avenue
2ND. Floor
Jackson Heights, NY 11372-8012
Phone
(718) 334-6700
NPI assigned
May 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2012

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

Authorized official

Name
Victor Peralta, MDNPI 1265522643
Title
Executive Director
Phone
(718) 334-6716

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
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

9320A Roosevelt Avenue
2ND. Floor
Jackson Heights, NY 11372-8012

Mailing address

9320A Roosevelt Avenue
2ND. Floor
Jackson Heights, NY 11372-8012
Phone (718) 334-6700

National Provider Directory

National Provider Directory

Locations

9320A Roosevelt Ave
Ste 2B
Jackson Heights, NY 11372

9320A Roosevelt Ave
#2
Jackson Heights, NY 11372
Phone (516) 455-1170

9320A Roosevelt Ave
Jackson Hts, NY 11372
Phone (718) 334-6793

9614 63rd Dr
Fl 2
Rego Park, NY 11374

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328832000000",
    "number": "1629284237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9320A ROOSEVELT AVENUE",
            "address_2": "2ND. FLOOR",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113728012",
            "telephone_number": "718-334-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9320A ROOSEVELT AVENUE",
            "address_2": "2ND. FLOOR",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113728012",
            "telephone_number": "718-334-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNATIONAL PEDIATRICS PLUS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2012-02-10",
        "status": "A",
        "authorized_official_last_name": "PERALTA",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "718-334-6716",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.