Middle Country Pediatrics, LLP

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

213354 Issued in NY

Legal business name

MIDDLE COUNTRY PEDIATRICS, LLP

Practice address

1344 Middle Country Rd Ste 4
Centereach, NY 11720-3585

Phone

(631) 698-4932

Fax

(631) 698-2453

NPI assigned

Apr 28, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Bernard Lau, M.D.

Title

Partner

Phone

(631) 698-4932

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209340800000",
    "number": "1932374204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1344-4 MIDDLE COUNTRY RD",
            "city": "CENTEREACH",
            "state": "NY",
            "postal_code": "11720",
            "telephone_number": "631-698-4932",
            "fax_number": "631-698-2453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1344 MIDDLE COUNTRY RD STE 4",
            "city": "CENTEREACH",
            "state": "NY",
            "postal_code": "117203585",
            "telephone_number": "631-698-4932",
            "fax_number": "631-698-2453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLE COUNTRY PEDIATRICS, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-28",
        "last_updated": "2008-04-28",
        "status": "A",
        "authorized_official_last_name": "LAU",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "631-698-4932",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "213354",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02825785",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fanjing Meng
• Mercy Medical Center
• Marguerite F Metzendorf, LCSWR
• Maria Middendorf, MS, LCSW
• Middle Country Family Medicine P C
• Amanda Marie Miller
• Cristin Ann Miller, MS OTRL
• Yelena Mindel, DDS
• Virginia M. Mitchell, DDS
• Jacqueline Mockler, DPT

• Pediatrics Physician in Centereach, NY
• Providers in Centereach, 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 Apr 28, 2008; 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.