SV Pediatrics

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

F382507 Issued in NY

Legal business name

SV PEDIATRICS

Practice address

155 E Woodside Ave
Patchogue, NY 11772-1423

Phone

(631) 758-6565

Fax

(631) 758-6568

NPI assigned

Mar 31, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Michele Davieds

Title

Office Manager

Phone

(631) 758-6565

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1459382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459382400000",
    "number": "1760845424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 E WOODSIDE AVE",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117721423",
            "telephone_number": "631-758-6565",
            "fax_number": "631-758-6568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 E WOODSIDE AVE",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117721423",
            "telephone_number": "631-758-6565",
            "fax_number": "631-758-6568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SV PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-31",
        "last_updated": "2016-03-31",
        "status": "A",
        "authorized_official_last_name": "DAVIEDS",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "631-758-6565",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "F382507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Beth Sullivan
• Sun River Health Inc
• Christina Marie Suozzo, NP
• Titsania Elizabeth Supersad Coley, AGNP-C
• SV OB/GYN, PC
• Fozia Syed, MD
• Sundas Tariq Syeda, PHYSCIAN ASSISTANT
• Natalie S Synnott, RN, NP
• Maria Bozena Syska
• Mark Szigeti

• Pediatric Nurse Practitioner in Patchogue, NY
• Providers in Patchogue, NY by specialty
• Pediatric Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2016; 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.