Organization Active NPI

Kidz Kare of Great Neck LLP

  • Pediatric Adolescent Medicine Physician
  • Great Neck, NY
National Provider Identifier
1649310996
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
Legal business name
KIDZ KARE OF GREAT NECK LLP
Practice address
107 Northern Blvd
Suite 201
Great Neck, NY 11021-4309
Phone
(516) 487-6565
Fax
(516) 487-3057
NPI assigned
Feb 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Ms. Mercedes Iocco
Title
Business Manager
Phone
(516) 487-6565

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080A0000X Primary

Addresses

Primary practice location

107 Northern Blvd
Suite 201
Great Neck, NY 11021-4309

Mailing address

107 Northern Blvd
Suite 201
Great Neck, NY 11021-4309
Phone (516) 487-6565

National Provider Directory

National Provider Directory

Locations

107 Northern Blvd
Ste 201
Great Neck, NY 11021
Phone (516) 487-6565

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1649310996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 NORTHERN BLVD",
            "address_2": "SUITE 201",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110214309",
            "telephone_number": "516-487-6565",
            "fax_number": "516-487-3057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 NORTHERN BLVD",
            "address_2": "SUITE 201",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110214309",
            "telephone_number": "516-487-6565",
            "fax_number": "516-487-3057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDZ KARE OF GREAT NECK LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "IOCCO",
        "authorized_official_first_name": "MERCEDES",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "516-487-6565",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.