Organization Active NPI

New Hyde Park Pediatrics

  • Pediatrics Physician
  • New Hyde Park, NY
National Provider Identifier
1720350119
Registry record updated Feb 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
NEW HYDE PARK PEDIATRICS
Practice address
1575 Hillside Ave
Ste 307
New Hyde Park, NY 11040-2521
Phone
(516) 488-1900
Fax
(516) 488-0013
NPI assigned
Feb 1, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2012

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

Authorized official

Name
Frank Roberto, DO
Title
Owner
Phone
(516) 488-1900

Specialties & licenses 1

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

Addresses

Primary practice location

1575 Hillside Ave
Ste 307
New Hyde Park, NY 11040-2521

Mailing address

1575 Hillside Ave
Ste 307
New Hyde Park, NY 11040-2521
Phone (516) 488-1900

National Provider Directory

National Provider Directory

Locations

1575 Hillside Ave
Ste 307
New Hyde Park, NY 11040
Phone (516) 488-1900

Practitioners & affiliated clinicians

Practitioners 1

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": "1328054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328054400000",
    "number": "1720350119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 HILLSIDE AVE",
            "address_2": "STE 307",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110402521",
            "telephone_number": "516-488-1900",
            "fax_number": "516-488-0013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 HILLSIDE AVE",
            "address_2": "STE 307",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110402521",
            "telephone_number": "516-488-1900",
            "fax_number": "516-488-0013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW HYDE PARK PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-01",
        "last_updated": "2012-02-01",
        "status": "A",
        "authorized_official_last_name": "ROBERTO",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-488-1900",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2012; 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.