Active NPI
New Beginnings Pediatrics SC
- Specialist
- Geneva, IL
National Provider Identifier
1811040314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- NEW BEGINNINGS PEDIATRICS SC
- Practice address
- 302 Randall Rd Ste 106
Geneva, IL 60134-4209 - Phone
- (630) 232-7200
- Fax
- (630) 232-2288
- NPI assigned
- Jan 19, 2007
- 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
- Diane C Nielsen, M.D.
- Title
- Owner
- Phone
- (630) 232-7200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
302 Randall Rd Ste 106
Geneva, IL 60134-4209
Mailing address
302 Randall Rd Ste 106
Geneva, IL 60134-4209
Phone (630) 232-7200
National Provider Directory
National Provider DirectoryLocations
302 Randall Rd
Ste 106
Geneva, IL 60134
Phone (630) 232-7200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1193702400000",
"number": "1811040314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "302 RANDALL RD STE 106",
"city": "GENEVA",
"state": "IL",
"postal_code": "601344209",
"telephone_number": "630-232-7200",
"fax_number": "630-232-2288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 RANDALL RD STE 106",
"city": "GENEVA",
"state": "IL",
"postal_code": "601344209",
"telephone_number": "630-232-7200",
"fax_number": "630-232-2288"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW BEGINNINGS PEDIATRICS SC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-19",
"last_updated": "2007-10-30",
"status": "A",
"authorized_official_last_name": "NIELSEN",
"authorized_official_first_name": "DIANE",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "630-232-7200",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Geneva, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.