Organization Active NPI

Healthy Child Pediatrics LLC

  • Specialist
  • West New York, NJ
National Provider Identifier
1861593261
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA062732 Issued in NJ
Legal business name
HEALTHY CHILD PEDIATRICS LLC
Practice address
217 60TH St
West New York, NJ 07093-2805
Phone
(201) 869-1108
NPI assigned
Sep 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Altagarcia Munoz-Llaveria, MDNPI 1174624563
Title
Owner
Phone
(201) 869-1108

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X MA062732 NJ Primary

Addresses

Primary practice location

217 60TH St
West New York, NJ 07093-2805

Mailing address

217 60TH St
West New York, NJ 07093-2805
Phone (201) 869-1108

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2074016Healthy Child Pediatrics, LLC217 60TH Street, West New York, NJ 07093Certificate of waiverFeb 26, 2028

National Provider Directory

National Provider Directory

Locations

217 60th St
West New York, NJ 07093
Phone (201) 869-1088

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861593261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 60TH ST",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070932805",
            "telephone_number": "201-869-1108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 60TH ST",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070932805",
            "telephone_number": "201-869-1108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY CHILD PEDIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MUNOZ-LLAVERIA",
        "authorized_official_first_name": "ALTAGARCIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-869-1108",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MA062732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West New York, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.