Organization Active NPI

Comprehensive Pediatrics

  • Pediatrics Physician
  • Ozone Park, NY
National Provider Identifier
1932323219
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
222937 Issued in NY
Legal business name
COMPREHENSIVE PEDIATRICS
Practice address
9511 101St Ave
Ozone Park, NY 11416-2500
Phone
(718) 848-1171
Fax
(718) 323-0032
NPI assigned
Apr 11, 2007
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
Ms. Paula Wnuk
Title
Billing Department
Phone
(718) 848-1171

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 222937 NY Primary

Addresses

Primary practice location

9511 101St Ave
Ozone Park, NY 11416-2500

Mailing address

9511 101St Ave
Ozone Park, NY 11416-2500
Phone (718) 848-1171

Other identifiers 3

IdentifierTypeStateIssuer
1174504690 NPIOtherNYDR. FABIO MEHRGUT
02367471MedicaidNY
1477535300 NPIOtherNYDR. ELIZABETH AVARICIO

National Provider Directory

National Provider Directory

Locations

9511 101st Ave
Ozone Park, NY 11416
Phone (718) 360-5060

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932323219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9511 101ST AVE",
            "city": "OZONE PARK",
            "state": "NY",
            "postal_code": "114162500",
            "telephone_number": "718-848-1171",
            "fax_number": "718-323-0032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9511 101ST AVE",
            "city": "OZONE PARK",
            "state": "NY",
            "postal_code": "114162500",
            "telephone_number": "718-848-1171",
            "fax_number": "718-323-0032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WNUK",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "BILLING DEPARTMENT",
        "authorized_official_telephone_number": "718-848-1171",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "222937",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. FABIO MEHRGUT",
            "identifier": "1174504690 NPI",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02367471",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. ELIZABETH AVARICIO",
            "identifier": "1477535300 NPI",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ozone Park, NY

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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.