Individual provider Active NPI

Naomi Chaim-Watman, M.D.

  • Pediatrics Physician
  • Long Beach, NY
National Provider Identifier
1669466397
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
171933 Issued in NY
Practice address
303 E Park Ave
Long Beach, NY 11561-3600
Phone
(516) 897-4600
Fax
(516) 897-0769
NPI assigned
Sep 8, 2005
Reactivated
Apr 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 171933 NY Primary

Addresses

Primary practice location

303 E Park Ave
Long Beach, NY 11561-3600

Mailing address

4 Payne Cir
Hewlett, NY 11557-2735
Phone (516) 374-4921

Other identifiers 1

IdentifierTypeStateIssuer
01404466MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
171933NYMDPediatrics Physician

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

NPI Registry JSON

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

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1669466397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 PAYNE CIR",
            "city": "HEWLETT",
            "state": "NY",
            "postal_code": "115572735",
            "telephone_number": "516-374-4921",
            "fax_number": "516-897-0769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 E PARK AVE",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115613600",
            "telephone_number": "516-897-4600",
            "fax_number": "516-897-0769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAIM-WATMAN",
        "first_name": "NAOMI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-08",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "deactivation_date": "2006-03-25",
        "reactivation_date": "2006-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "171933",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01404466",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2025; 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.