New Windsor Pediatrics LLC.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

171544 Issued in NY

Legal business name

NEW WINDSOR PEDIATRICS LLC.

Practice address

448 Temple Hill Rd
New Windsor, NY 12553

Phone

(845) 562-2191

Fax

(845) 562-2295

NPI assigned

Oct 10, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Minoo Pedoem-Shapiro, MDNPI 1780678136

Title

Owner

Phone

(845) 562-2191

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 4

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

• Minoo Pedoem-Shapiro, MD

  • Pediatrics Physician
  • New Windsor, NY
  • NPI 1780678136
  Medicare reassignment Care Compare group Authorized official
• Sarah Susan Helgeson, O.D.

  • Optometrist
  • Montgomery, NY
  • NPI 1841487238
  Medicare reassignment Care Compare group NPD
• Ariel Yehdua Pedoeem, DO

  • General Practice Physician
  • New Windsor, NY
  • NPI 1316441967
  Medicare reassignment Care Compare group NPD
• Christine Vega-Ruscher, R.D., CDN

  • Registered Dietitian
  • Washingtonville, NY
  • NPI 1427452267
  Medicare reassignment NPD

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407888000000",
    "number": "1912095852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "448 TEMPLE HILL RD",
            "city": "NEW WINDSOR",
            "state": "NY",
            "postal_code": "12553",
            "telephone_number": "845-562-2191",
            "fax_number": "845-562-2295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "448 TEMPLE HILL RD",
            "city": "NEW WINDSOR",
            "state": "NY",
            "postal_code": "12553",
            "telephone_number": "845-562-2191",
            "fax_number": "845-562-2295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW WINDSOR PEDIATRICS LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2014-08-13",
        "status": "A",
        "authorized_official_last_name": "PEDOEM-SHAPIRO",
        "authorized_official_first_name": "MINOO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-562-2191",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "171544",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "226275",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01155302",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• New Windsor Family Medicine, PLLC
• New Windsor Family Medicine, PLLC
• New Windsor Gynecology, PC
• New Windsor Medical PLLC
• New Windsor Medical, PC
• New Windsor Pharmacy Corp
• New Windsor Volunteer Ambulance Corps Inc
• New York Medical House Calls, PC
• Samantha Newberry, PHARM D
• James C Newton, PT, DPT, ATC

• Pediatrics Physician in New Windsor, NY
• Providers in New Windsor, 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 Aug 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.