NPIMap

Organization Active NPI

Auburn Pediatrics PLLC

  • Pediatrics Physician
  • Auburn, NY
National Provider Identifier
1740384247
Registry record updated Nov 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
213033 Issued in NY
Legal business name
AUBURN PEDIATRICS PLLC
Practice address
75 Genesee St
Auburn, NY 13021
Phone
(315) 255-2255
Fax
(315) 252-5245
NPI assigned
Sep 13, 2006
Last updated
Nov 21, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2011

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

Authorized official

Name
Farrukn Anwer, MD
Title
Member
Phone
(315) 255-2255

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X NY
Pediatrics Physician 208000000X 240389 NY
Pediatrics Physician 208000000X 213033 NY Primary

Addresses

Primary practice location

75 Genesee St
Auburn, NY 13021

Mailing address

75 Genesee St
Auburn, NY 13021
Phone (315) 255-2255

National Provider Directory

National Provider Directory

Locations

75 Genesee St
Auburn, NY 13021
Phone (315) 252-0810

Practitioners & affiliated clinicians

Practitioners 4

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": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321833600000",
    "number": "1740384247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 GENESEE ST",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "13021",
            "telephone_number": "315-255-2255",
            "fax_number": "315-252-5245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 GENESEE ST",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "13021",
            "telephone_number": "315-255-2255",
            "fax_number": "315-252-5245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUBURN PEDIATRICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2011-11-21",
        "status": "A",
        "authorized_official_last_name": "ANWER",
        "authorized_official_first_name": "FARRUKN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "315-255-2255",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "240389",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "213033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2011; 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.