Kidstown Pediatrics, LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

KIDSTOWN PEDIATRICS, LLC

Practice address

211 NE 89TH St
El Portal, FL 33138-3119

Phone

(305) 576-5437

Fax

(305) 576-5120

NPI assigned

Feb 27, 2007

Last updated

Oct 16, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Margaret Okonkwo, MDNPI 1689747859

Title

MD

Phone

(305) 576-5437

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

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.

• Margaret Ifeanyichukwu Okonkwo, MD

  • Pediatrics Physician
  • Miami, FL
  • NPI 1689747859
  Authorized official Same address or phone
• Valerie Ann Palermo

  • Physician Assistant
  • Miami, FL
  • NPI 1003386434
  NPD (past)

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508112000000",
    "number": "1730215112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7800 SW 87TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733570",
            "telephone_number": "954-731-9676",
            "fax_number": "954-731-9747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 NE 89TH ST",
            "city": "EL PORTAL",
            "state": "FL",
            "postal_code": "331383119",
            "telephone_number": "305-576-5437",
            "fax_number": "305-576-5120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDSTOWN PEDIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2017-10-16",
        "status": "A",
        "authorized_official_last_name": "OKONKWO",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "305-576-5437",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "74168",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "269200700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Baricelli, LMHC
• Dental Fitness Inc
• George Flores Jr., L.M.T,A.P.,REV.
• Karl Hilaire
• Ruth Jean Jacques
• KJH Multiservices LLC
• Midland Medical - Miami Shores, Inc.
• Midtown Health Center LLC
• Daniela Robaina Rodriguez
• Ashley Rojas, OTR/L

• Pediatrics Physician in El Portal, FL
• Providers in El Portal, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.