Organization Active NPI

West Hempstead Pediatrics

  • Pediatrics Physician
  • West Hempstead, NY
National Provider Identifier
1710423249
Registry record updated Jan 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
215569 Issued in NY
Legal business name
WEST HEMPSTEAD PEDIATRICS
Practice address
304 Chestnut St
West Hempstead, NY 11552-2423
Phone
(516) 500-1200
Fax
(516) 486-1200
NPI assigned
Jan 8, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2017

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

Authorized official

Name
Dr. Shari Jacobs, M.D.
Title
Owner
Phone
(516) 500-1200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 215569 NY Primary

Addresses

Primary practice location

304 Chestnut St
West Hempstead, NY 11552-2423

Mailing address

304 Chestnut St
West Hempstead, NY 11552-2423
Phone (516) 500-1200

National Provider Directory

National Provider Directory
Tax ID family
Sunshine Pediatrics PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1483833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483833600000",
    "number": "1710423249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 CHESTNUT ST",
            "city": "WEST HEMPSTEAD",
            "state": "NY",
            "postal_code": "115522423",
            "telephone_number": "516-500-1200",
            "fax_number": "516-486-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 CHESTNUT ST",
            "city": "WEST HEMPSTEAD",
            "state": "NY",
            "postal_code": "115522423",
            "telephone_number": "516-500-1200",
            "fax_number": "516-486-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST HEMPSTEAD PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-08",
        "last_updated": "2017-01-08",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "SHARI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-500-1200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "215569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hempstead, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2017; 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.