Bayside Pediatric Care P.C.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

240002 Issued in NY

Legal business name

BAYSIDE PEDIATRIC CARE P.C.

Practice address

22116 Union Tpke
Bayside, NY 11364-3641

Phone

(718) 465-5888

Fax

(718) 465-5889

NPI assigned

Mar 21, 2011

Organization subpart

No

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

Authorized official

Name

Li-Min Yang, M.D.NPI 1447286323

Title

Office Manager

Phone

(718) 465-5888

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Li-Min Yang, M.D.

  • Pediatrics Physician
  • Bayside, NY
  • NPI 1447286323
  NPD (past) Authorized official
• Claudine R Mathieu, M.D.

  • Pediatrics Physician
  • Mineola, NY
  • NPI 1679508055
  NPD (past)

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

{
    "created_epoch": "1300665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330992000000",
    "number": "1639478340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22116 UNION TPKE",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113643641",
            "telephone_number": "718-465-5888",
            "fax_number": "718-465-5889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22116 UNION TPKE",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113643641",
            "telephone_number": "718-465-5888",
            "fax_number": "718-465-5889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYSIDE PEDIATRIC CARE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-21",
        "last_updated": "2012-03-06",
        "status": "A",
        "authorized_official_last_name": "YANG",
        "authorized_official_first_name": "LI-MIN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "718-465-5888",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "240002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02824739",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bayside Family Pharmacy Inc.
• Bayside Laboratories
• Bayside Laser Dental PC
• Bayside Occupational Therapy PC
• Bayside Orthodontics PLLC
• Bayside Pediatric Specialists P.C.
• Bayside Pediatrics PC
• Bayside Physical Therapy, Chiropractic & Acupuncture PLLC
• Bayside Professional PT PC
• Bayside Rehab PT PC

• Pediatrics Physician in Bayside, NY
• Providers in Bayside, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.