Kids Pride Pediatrics, PC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

235529 Issued in NY

Legal business name

KIDS PRIDE PEDIATRICS, PC

Practice address

20801 Hillside Ave
1St Floor
Queens Village, NY 11427-1711

Phone

(718) 479-7337

Fax

(718) 479-2031

NPI assigned

Mar 3, 2015

Last updated

Mar 3, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sarabjit Singh Phokela, MD

Title

Medical Director

Phone

(718) 479-7337

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1425340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425340800000",
    "number": "1902298789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20801 HILLSIDE AVE",
            "address_2": "1ST FLOOR",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114271711",
            "telephone_number": "718-479-7337",
            "fax_number": "718-479-2031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20801 HILLSIDE AVE",
            "address_2": "1ST FLOOR",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114271711",
            "telephone_number": "718-479-7337",
            "fax_number": "718-479-2031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS PRIDE PEDIATRICS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-03",
        "last_updated": "2015-03-03",
        "status": "A",
        "authorized_official_last_name": "PHOKELA",
        "authorized_official_first_name": "SARABJIT",
        "authorized_official_middle_name": "SINGH",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "718-479-7337",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "235529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sameena Khan, M.D.
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• Gahyun Kim
• Jabez Kim
• Joe Young Kim, MSED.
• Minsoo Kim, LCSW-R
• Florence King-Inneh, RN

• Pediatrics Physician in Queens Village, NY
• Providers in Queens Village, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2015; 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.