P & P Pediatric, PC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

217986 Issued in NY

Legal business name

P & P PEDIATRIC, PC

Practice address

88-10 175TH Street
Jamaica, NY 11432-5554

Phone

(718) 753-4564

NPI assigned

Oct 10, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Sudha Vijaykumar, MD

Title

President

Phone

(718) 753-4564

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1349827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349827200000",
    "number": "1760734040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8810 175TH ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114325554",
            "telephone_number": "718-753-4564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88-10 175TH STREET",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114325554",
            "telephone_number": "718-753-4564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P & P PEDIATRIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-10",
        "last_updated": "2012-10-10",
        "status": "A",
        "authorized_official_last_name": "VIJAYKUMAR",
        "authorized_official_first_name": "SUDHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-753-4564",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "217986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oluwabusola O Oyenuga
• Corinne Ozbek
• Norman Ozersky, M.D.
• Chinyere Ozim, LCSW
• Bike Ilayda Ozkan, MD
• Benjamin William Pace, MD
• Rosa C Pachay, LMSW
• Rachel Pacht
• Gina Fe Paculba- Sanon
• Crisanthy Padilla

• Pediatrics Physician in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.