Organization Active NPI

Divino Nino Pediatrics

  • Pediatric Adolescent Medicine Physician
  • Bronx, NY
National Provider Identifier
1891929311
Registry record updated May 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
248239 Issued in NY
Legal business name
DIVINO NINO PEDIATRICS
Practice address
557 E Fordham Rd
Bronx, NY 10458-5001
Phone
(347) 590-0660
Fax
(347) 590-0663
NPI assigned
May 12, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2010

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

Authorized official

Name
Dr. Denise Nunez, M.DNPI 1023276433
Title
President
Phone
(347) 590-0660

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
Pediatric Adolescent Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080A0000X 248239 NY Primary

Addresses

Primary practice location

557 E Fordham Rd
Bronx, NY 10458-5001

Mailing address

557 E Fordham Rd
Bronx, NY 10458-5001
Phone (347) 590-0660

Other identifiers 1

IdentifierTypeStateIssuer
03031041MedicaidNY

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
33D2002820Divino Nino Pediatrics557 East Fordham Road, Bronx, NY 10458Provider-performed microscopyJan 26, 2028

National Provider Directory

National Provider Directory

Locations

557 E Fordham Rd
Bronx, NY 10458
Phone (347) 590-0660

557 E Fordham Rd
Ste 1
Bronx, NY 10458

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BAHHAA

Practitioners & affiliated clinicians

Practitioners 4

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": "1242086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273622400000",
    "number": "1891929311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "557 E FORDHAM RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104585001",
            "telephone_number": "347-590-0660",
            "fax_number": "347-590-0663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "557 E FORDHAM RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104585001",
            "telephone_number": "347-590-0660",
            "fax_number": "347-590-0663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINO NINO PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-12",
        "last_updated": "2010-05-12",
        "status": "A",
        "authorized_official_last_name": "NUNEZ",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-590-0660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NY",
            "license": "248239",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03031041",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2010; 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.