NPIMap

Organization Active NPI

Premier Pediatrics of New York, PC

  • Pediatrics Physician
  • Staten Island, NY
National Provider Identifier
1750973368
Registry record updated Feb 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
PREMIER PEDIATRICS OF NEW YORK, PC
Practice address
2955 Veterans Rd W Ste 2C
Staten Island, NY 10309-2504
Phone
(718) 356-6000
Fax
(718) 356-6267
NPI assigned
Feb 4, 2021
Last updated
Feb 4, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2021

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

Authorized official

Name
Dr. Linda Teresa Di Toro, MDNPI 1245205798
Title
Ceo, President
Phone
(718) 356-6000

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

2955 Veterans Rd W Ste 2C
Staten Island, NY 10309-2504

Mailing address

7 Morton St
Staten Island, NY 10306-1460
Phone (917) 922-2455

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://backline-health.com Direct

National Provider Directory

National Provider Directory

Locations

2955 Veterans Rd W
Ste 2C
Staten Island, NY 10309
Phone (718) 356-6000

Practitioners & affiliated clinicians

Practitioners 7

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": "1612396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612396800000",
    "number": "1750973368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 MORTON ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103061460",
            "telephone_number": "917-922-2455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2955 VETERANS RD W STE 2C",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103092504",
            "telephone_number": "718-356-6000",
            "fax_number": "718-356-6267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER PEDIATRICS OF NEW YORK, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-04",
        "last_updated": "2021-02-04",
        "certification_date": "2021-02-04",
        "status": "A",
        "authorized_official_last_name": "DI TORO",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "TERESA",
        "authorized_official_title_or_position": "CEO, PRESIDENT",
        "authorized_official_telephone_number": "718-356-6000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://backline-health.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "free text",
            "address_1": "2955 Veterans Rd W Ste 2C",
            "city": "Staten Island",
            "state": "NY",
            "country_code": "US",
            "postal_code": "103092504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2021; 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.