NPIMap

Organization Active NPI

Premier Pediatrics Care PC

  • Pediatrics Physician
  • Hempstead, NY
National Provider Identifier
1679974760
Registry record updated Aug 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
237804 Issued in NY
Legal business name
PREMIER PEDIATRICS CARE PC
Practice address
72 Fulton Ave
Hempstead, NY 11550-3651
Phone
(516) 564-2056
NPI assigned
Sep 9, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2016

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

Authorized official

Name
Dr. Tanya Eleanor Duvivier, D.O.
Title
Physician
Phone
51656542056

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 237804 NY Primary

Addresses

Primary practice location

72 Fulton Ave
Hempstead, NY 11550-3651

Mailing address

72 Fulton Ave
Hempstead, NY 11550-3651
Phone (516) 564-2056

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1410220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471478400000",
    "number": "1679974760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 FULTON AVE",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115503651",
            "telephone_number": "516-564-2056",
            "fax_number": "516-564-2055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 FULTON AVE",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115503651",
            "telephone_number": "516-564-2056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER PEDIATRICS CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-09",
        "last_updated": "2016-08-18",
        "status": "A",
        "authorized_official_last_name": "DUVIVIER",
        "authorized_official_first_name": "TANYA",
        "authorized_official_middle_name": "ELEANOR",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "51656542056",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "237804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hempstead, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2016; 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.