Organization Active NPI

Westside Pediatric Assosoates

  • Pediatrics Physician
  • New York, NY
National Provider Identifier
1861527731
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
WESTSIDE PEDIATRIC ASSOSOATES
Practice address
1000 10TH Ave
New York, NY 10019-1147
Phone
(212) 523-8306
Fax
(232) 523-8307
NPI assigned
Feb 22, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Farroukh Shahrivar
Title
Acting Chaiman, Pediatric Services
Phone
(212) 523-3760

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X NY Primary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X

Addresses

Primary practice location

1000 10TH Ave
New York, NY 10019-1147

Mailing address

1111 Amsterdam Ave
New York, NY 10025-1716
Phone (212) 523-8050

National Provider Directory

National Provider Directory

Locations

3020 Childrens Way
Bldg 12
San Diego, CA 92123

1000 10th Ave
Fl 12
New York, NY 10019
Phone (212) 523-8083

1111 Amsterdam Ave
Ste 5W140
New York, NY 10025
Phone (212) 523-8050

Practitioners & affiliated clinicians

Practitioners 4

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": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1861527731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 AMSTERDAM AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100251716",
            "telephone_number": "212-523-8050",
            "fax_number": "212-523-8055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 10TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100191147",
            "telephone_number": "212-523-8306",
            "fax_number": "232-523-8307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE PEDIATRIC ASSOSOATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SHAHRIVAR",
        "authorized_official_first_name": "FARROUKH",
        "authorized_official_title_or_position": "ACTING CHAIMAN, PEDIATRIC SERVICES",
        "authorized_official_telephone_number": "212-523-3760"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "NY",
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Jul 21, 2022; 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.