Organization Active NPI

Christine M. Danzi - Hacken Pediatric Medicine PC

  • Pediatrics Physician
  • Smithtown, NY
National Provider Identifier
1902495773
Registry record updated Jan 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
CHRISTINE M. DANZI - HACKEN PEDIATRIC MEDICINE PC
Practice address
994 W Jericho Tpke Ste 202
Smithtown, NY 11787-3234
Phone
(631) 864-6440
Fax
(631) 864-6445
NPI assigned
Jan 15, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2021

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

Authorized official

Name
Christine M Danzi, DO
Title
Physician/Owner
Phone
(631) 864-6440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

994 W Jericho Tpke Ste 202
Smithtown, NY 11787-3234

Mailing address

994 W Jericho Tpke Ste 202
Smithtown, NY 11787-3234
Phone (631) 864-6440

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1610668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611878400000",
    "number": "1902495773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "994 W JERICHO TPKE STE 202",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873234",
            "telephone_number": "631-864-6440",
            "fax_number": "631-864-6445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "994 W JERICHO TPKE STE 202",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873234",
            "telephone_number": "631-864-6440",
            "fax_number": "631-864-6445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTINE M. DANZI - HACKEN PEDIATRIC MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-15",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-29",
        "status": "A",
        "authorized_official_last_name": "DANZI",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "631-864-6440",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithtown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2021; 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.