Mineola Pediatrics P.C.

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

Legal business name

MINEOLA PEDIATRICS P.C.

Practice address

344 1St St
Mineola, NY 11501-3733

Phone

(516) 873-3683

Fax

(516) 873-3684

NPI assigned

Feb 9, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Dilara Rakhman, M.D.

Title

Director

Phone

(516) 873-3683

Specialties & licenses 1

Addresses

Practitioners 1

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

• Gerald Ente, M.D.

  • Pediatric Adolescent Medicine Physician
  • Mineola, NY
  • NPI 1184713638
  NPD (past)

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

{
    "created_epoch": "1234137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234915200000",
    "number": "1932348356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "344 1ST ST",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115013733",
            "telephone_number": "516-873-3683",
            "fax_number": "516-873-3684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "344 1ST ST",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115013733",
            "telephone_number": "516-873-3683",
            "fax_number": "516-873-3684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINEOLA PEDIATRICS P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-09",
        "last_updated": "2009-02-18",
        "status": "A",
        "authorized_official_last_name": "RAKHMAN",
        "authorized_official_first_name": "DILARA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "516-873-3683",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mineola Family Pharmacy Inc.
• Mineola Foot Care, PC
• Mineola Interventional Pain Management PLLC
• Mineola Medical Laboratory LLC
• Mineola Optical Boutique Inc
• Mineola Pharmacy Inc.
• Mineola Union Free School District
• Mineola Vision, Inc
• Mineola Volunteer Ambulance Corps Incorporated
• Joy Phyllis Minkoff, MS, CCC-SLP

• Pediatric Adolescent Medicine Physician in Mineola, NY
• Providers in Mineola, NY by specialty
• Pediatric Adolescent Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2009; 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.