Active NPI
Comprehensive Pediatrics
- Pediatrics Physician
- Ozone Park, NY
National Provider Identifier
1932323219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 222937
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174504690 NPI | Other | NY | DR. FABIO MEHRGUT |
| 02367471 | Medicaid | NY | |
| 1477535300 NPI | Other | NY | DR. ELIZABETH AVARICIO |
National Provider Directory
National Provider DirectoryLocations
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.