Organization Active NPI

Woodlawn Medical Associates, PC

  • Pediatrics Physician
  • Bronx, NY
National Provider Identifier
1770604571
Registry record updated Jun 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
WOODLAWN MEDICAL ASSOCIATES, PC
Practice address
174 East 205TH Street
Floor C
Bronx, NY 10458-1202
Phone
(718) 562-2200
Fax
(718) 562-2194
NPI assigned
Apr 2, 2007
Last updated
Jun 24, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2016

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

Authorized official

Name
Parisa Tafreshi-Oraee, MDNPI 1235215831
Title
Owner
Phone
(718) 562-2200

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X NU
Pediatrics Physician 208000000X NU Primary

Addresses

Primary practice location

174 East 205TH Street
Floor C
Bronx, NY 10458-1202

Mailing address

174 East 205TH Street
Floor C
Bronx, NY 10458-1202
Phone (718) 562-2200

Other identifiers 1

IdentifierTypeStateIssuer
0232061MedicaidNY

National Provider Directory

National Provider Directory

Locations

4221 201st St
Bayside, NY 11361
Phone (718) 423-2000

Practitioners & affiliated clinicians

Practitioners 1

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": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466726400000",
    "number": "1770604571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 EAST 205TH STREET",
            "address_2": "FLOOR C",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104581202",
            "telephone_number": "718-562-2200",
            "fax_number": "718-562-2194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 EAST 205TH STREET",
            "address_2": "FLOOR C",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104581202",
            "telephone_number": "718-562-2200",
            "fax_number": "718-562-2194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODLAWN MEDICAL ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2016-06-24",
        "status": "A",
        "authorized_official_last_name": "TAFRESHI-ORAEE",
        "authorized_official_first_name": "PARISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-562-2200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0232061",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.