Active NPI
Pediatrics 2000at 207 Street PLLC
- Pediatric Adolescent Medicine Physician
- New York, NY
National Provider Identifier
1811014483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- Legal business name
- PEDIATRICS 2000AT 207 STREET PLLC
- Practice address
- 515 W 207TH St
New York, NY 10034-2645 - Phone
- (212) 544-7777
- Fax
- (212) 544-9660
- NPI assigned
- Mar 26, 2007
- Last updated
- Feb 8, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Juan Tapia Mendoza, MD
- Title
- Owner
- Phone
- (212) 544-7777
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Adolescent Medicine Physician | 2080A0000X | NU | Primary |
Addresses
Primary practice location
515 W 207TH St
New York, NY 10034-2645
Mailing address
515 W 207TH St
New York, NY 10034-2645
Phone (212) 544-7777
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578666061 | Other | NY | NPI |
| 1790779064 | Other | NY | NPI |
| 1326141698 | Other | NY | NPI |
| 1760586457 | Other | NY | NPI |
| 1194828459 | Other | NY | NPI |
| 1346352408 | Other | NY | NPI |
| 1225131592 | Other | NY | NPI |
| 13463520408 | Other | NY | NPI |
National Provider Directory
National Provider DirectoryLocations
515 W 207th St
New York, NY 10034
Phone (212) 544-7777
Practitioners & affiliated clinicians
Practitioners 5
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.
-
- Pediatrics Physician
- Bronx, NY
- NPI 1922403526
-
- Pediatrics Physician
- Jamaica, NY
- NPI 1992826994
-
- Pediatrics Physician
- New York, NY
- NPI 1225131592
-
- Clinical Social Worker
- New York, NY
- NPI 1285835470
-
- Pediatrics Physician
- Dover, FL
- NPI 1801272505
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1202428800000",
"number": "1811014483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 W 207TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100342645",
"telephone_number": "212-544-7777",
"fax_number": "212-544-9660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 W 207TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100342645",
"telephone_number": "212-544-7777",
"fax_number": "212-544-9660"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEDIATRICS 2000AT 207 STREET PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-26",
"last_updated": "2008-02-08",
"status": "A",
"authorized_official_last_name": "TAPIA MENDOZA",
"authorized_official_first_name": "JUAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "212-544-7777",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1578666061",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1790779064",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1326141698",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1760586457",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1194828459",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1346352408",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1225131592",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "13463520408",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
- Pediatric Head and Neck Associates, PC (ROBIN DYLESKI - Pediatric Head and Neck Assoc. 2)
- Pediatric Ophthalmic Care PC (Pediatric Ophthalmic Consultants)
- Pediatric Surgery & Urology Associates
- Pediatrics 2000 II PC
- Pediatrics 2000 III PLLC
- Pediatrics East of Ny PC
- Pediatrics of Nyc
- Maureen Pedicino, CRNP-AC
- Dorothy Elizabeth Pedisich, P.A.
- Timothy A Pedley, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.