Newhide Medical Group, Inc.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

NEWHIDE MEDICAL GROUP, INC.

Practice address

4950 San Bernardino St
Suite 102
Montclair, CA 91763-2328

Phone

(951) 314-2255

NPI assigned

Oct 13, 2016

Organization subpart

No

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

Authorized official

Name

Suha Rayyis Newhide, MD

Title

President

Phone

(951) 314-2255

Specialties & licenses 1

Addresses

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/16297/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1476316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490745600000",
    "number": "1629528682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4950 SAN BERNARDINO ST",
            "address_2": "SUITE 102",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917632328",
            "telephone_number": "951-314-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4950 SAN BERNARDINO ST",
            "address_2": "SUITE 102",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917632328",
            "telephone_number": "951-314-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWHIDE MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-13",
        "last_updated": "2017-03-29",
        "status": "A",
        "authorized_official_last_name": "NEWHIDE",
        "authorized_official_first_name": "SUHA",
        "authorized_official_middle_name": "RAYYIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-314-2255",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatrics Physician in Montclair, CA
• Providers in Montclair, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2017; 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.