Organization Active NPI

Mommymd PLLC

Doing business as Little Roots Pediatrics

  • Pediatrics Physician
  • Boca Raton, FL
National Provider Identifier
1720932858
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
MOMMYMD PLLC
Doing business as
Little Roots Pediatrics
Practice address
19090 Skyridge Cir
Boca Raton, FL 33498-6223
Phone
(732) 239-0399
NPI assigned
Feb 25, 2026
Last updated
Feb 25, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

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

Authorized official

Name
Dr. Ariella K Khaitov, MDNPI 1700405818
Title
Physician/Ceo
Phone
(732) 239-0399

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
Pediatrics Physician 208000000X NU Primary

Addresses

Primary practice location

19090 Skyridge Cir
Boca Raton, FL 33498-6223

Mailing address

19090 Skyridge Cir
Boca Raton, FL 33498-6223
Phone (732) 239-0399

Other names 1

  • Little Roots Pediatrics Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1771977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771977600000",
    "number": "1720932858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19090 SKYRIDGE CIR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334986223",
            "telephone_number": "732-239-0399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19090 SKYRIDGE CIR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334986223",
            "telephone_number": "732-239-0399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOMMYMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-25",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A",
        "authorized_official_last_name": "KHAITOV",
        "authorized_official_first_name": "ARIELLA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PHYSICIAN/CEO",
        "authorized_official_telephone_number": "732-239-0399",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Little Roots Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2026; 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.