NPIMap

Organization Active NPI

Happy & Healthy Pediatrics PC

  • Primary Care Clinic/Center
  • Mineola, NY
National Provider Identifier
1689825515
Registry record updated Apr 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
230355 Issued in NY
Legal business name
HAPPY & HEALTHY PEDIATRICS PC
Practice address
77 Jericho Tpke
Suite 175
Mineola, NY 11501-2984
Phone
(516) 216-5910
Fax
(516) 216-5907
NPI assigned
Oct 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2009

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

Authorized official

Name
Dr. Elissa Hope Rubin, MDNPI 1710063920
Title
Sole Proprietor
Phone
(516) 216-5910

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 230355 NY Primary

Addresses

Primary practice location

77 Jericho Tpke
Suite 175
Mineola, NY 11501-2984

Mailing address

PO Box 1720
Mineola, NY 11501-0902
Phone (516) 216-5910

Other identifiers 1

IdentifierTypeStateIssuer
02909520MedicaidNY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D1091417Happy and Healthy Pediatrics PC77 Jericho Tpke, Suite 175, Mineola, NY 11501Certificate of waiverOct 30, 2026

National Provider Directory

National Provider Directory

Locations

77 Jericho Tpke
Ste 171
Mineola, NY 11501
Phone (516) 216-5910

Practitioners & affiliated clinicians

Practitioners 9

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

NPI Registry JSON

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

{
    "created_epoch": "1223510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240444800000",
    "number": "1689825515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1720",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115010902",
            "telephone_number": "516-216-5910",
            "fax_number": "516-216-5907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 JERICHO TPKE",
            "address_2": "SUITE 175",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115012984",
            "telephone_number": "516-216-5910",
            "fax_number": "516-216-5907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAPPY & HEALTHY PEDIATRICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-09",
        "last_updated": "2009-04-23",
        "status": "A",
        "authorized_official_last_name": "RUBIN",
        "authorized_official_first_name": "ELISSA",
        "authorized_official_middle_name": "HOPE",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "516-216-5910",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "230355",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02909520",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mineola, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.