NPIMap

Organization Active NPI

Wellcare Pediatrics P.C.

  • Pediatrics Physician
  • Whitestone, NY
National Provider Identifier
1629367941
Registry record updated Apr 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
236631 Issued in NY
Legal business name
WELLCARE PEDIATRICS P.C.
Practice address
1720 Francis Lewis Blvd
Whitestone, NY 11357-3247
Phone
(718) 939-4379
Fax
(718) 939-4380
NPI assigned
Apr 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2011

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

Authorized official

Name
Dr. Ibrahim Carvan, M.D.
Title
Pediatrician
Phone
(718) 939-4379

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 236631 NY Primary

Addresses

Primary practice location

1720 Francis Lewis Blvd
Whitestone, NY 11357-3247

Mailing address

1720 Francis Lewis Blvd
Whitestone, NY 11357-3247
Phone (718) 939-4379

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1302134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302134400000",
    "number": "1629367941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 FRANCIS LEWIS BLVD",
            "city": "WHITESTONE",
            "state": "NY",
            "postal_code": "113573247",
            "telephone_number": "718-939-4379",
            "fax_number": "718-939-4380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 FRANCIS LEWIS BLVD",
            "city": "WHITESTONE",
            "state": "NY",
            "postal_code": "113573247",
            "telephone_number": "718-939-4379",
            "fax_number": "718-939-4380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLCARE PEDIATRICS P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-07",
        "last_updated": "2011-04-07",
        "status": "A",
        "authorized_official_last_name": "CARVAN",
        "authorized_official_first_name": "IBRAHIM",
        "authorized_official_title_or_position": "PEDIATRICIAN",
        "authorized_official_telephone_number": "718-939-4379",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "236631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitestone, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2011; 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.