Organization Active NPI

Bobde Pediatrics, PLLC

  • Pediatrics Physician
  • Yonkers, NY
National Provider Identifier
1740825405
Registry record updated Nov 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
BOBDE PEDIATRICS, PLLC
Practice address
970 N Broadway Ste 303
Yonkers, NY 10701-1311
Phone
(914) 966-1900
NPI assigned
Nov 16, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2019

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

Authorized official

Name
Dr. Elizabeth Patsy Bobde, MD
Title
President
Phone
(914) 527-3154

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary
Clinic/Center 261Q00000X

Addresses

Primary practice location

970 N Broadway Ste 303
Yonkers, NY 10701-1311

Mailing address

970 N Broadway Ste 303
Yonkers, NY 10701-1311
Phone (914) 966-1900

Other identifiers 1

IdentifierTypeStateIssuer
02238484MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL peds201@yahoo.com Other

National Provider Directory

National Provider Directory

Locations

970 N Broadway
Ste 303
Yonkers, NY 10701
Phone (914) 423-9757

NPI Registry JSON

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

{
    "created_epoch": "1573862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573862400000",
    "number": "1740825405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 N BROADWAY STE 303",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107011311",
            "telephone_number": "914-966-1900",
            "fax_number": "914-966-0028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 N BROADWAY STE 303",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107011311",
            "telephone_number": "914-966-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOBDE PEDIATRICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-16",
        "last_updated": "2019-11-16",
        "status": "A",
        "authorized_official_last_name": "BOBDE",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "PATSY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-527-3154",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02238484",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "peds201@yahoo.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "forms",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "forms",
            "address_1": "970 N Broadway Ste 303",
            "city": "Yonkers",
            "state": "NY",
            "country_code": "US",
            "postal_code": "107011311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2019; 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.