Organization Active NPI

Pediatrics 2000at 207 Street PLLC

  • Pediatric Adolescent Medicine Physician
  • New York, NY
National Provider Identifier
1811014483
Registry record updated Feb 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1578666061OtherNYNPI
1790779064OtherNYNPI
1326141698OtherNYNPI
1760586457OtherNYNPI
1194828459OtherNYNPI
1346352408OtherNYNPI
1225131592OtherNYNPI
13463520408OtherNYNPI

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.