Alvin N Eden Pediatrics

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

074400 Issued in NY

Legal business name

ALVIN N EDEN PEDIATRICS

Practice address

10721 Queens Blvd
Suite 7
Forest Hills, NY 11375-4413

Phone

(718) 261-8989

Fax

(718) 261-8995

NPI assigned

Sep 17, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Alvin N Eden, M.D.

Title

Pediatrician

Phone

(718) 261-8989

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

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

{
    "created_epoch": "1410912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410912000000",
    "number": "1760884134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10721 QUEENS BLVD",
            "address_2": "SUITE 7",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754413",
            "telephone_number": "718-261-8989",
            "fax_number": "718-261-8995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10721 QUEENS BLVD",
            "address_2": "SUITE 7",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754413",
            "telephone_number": "718-261-8989",
            "fax_number": "718-261-8995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALVIN N EDEN PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-17",
        "last_updated": "2014-09-17",
        "status": "A",
        "authorized_official_last_name": "EDEN",
        "authorized_official_first_name": "ALVIN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PEDIATRICIAN",
        "authorized_official_telephone_number": "718-261-8989",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "074400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "000024001",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00986910",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLUS",
            "identifier": "313440101",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLUS",
            "identifier": "313350101",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gwen Alter, PHD
• Steven Alter, PH.D.
• Sevde Altun
• Keisha Alvelo
• Nanette Obregon Alvero
• Adam Aly, LMSW
• Khosrow Alyeshmerni, MD
• Am Dental Services P.C. (The center for Implant Surgery)
• Johanna Xiomara Amancio
• Michelle Amato

• Primary Care Clinic/Center in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• Primary Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2014; 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.