Little Pediatrics P.C.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

LITTLE PEDIATRICS P.C.

Practice address

11 Orchard St
Port Jervis, NY 12771

Phone

(609) 661-2945

NPI assigned

Oct 26, 2017

Organization subpart

No

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

Authorized official

Name

Sara Little, MDNPI 1356634786

Title

Ceo

Phone

(609) 661-2945

Specialties & licenses 1

Addresses

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

Practitioners 6

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

• Sara J. Little, MD

  • Pediatrics Physician
  • Port Jervis, NY
  • NPI 1356634786
  Medicare reassignment NPD Authorized official
• Heather Colombo, NP

  • Nurse Practitioner
  • Port Jervis, NY
  • NPI 1205416658
  Medicare reassignment NPD
• Brandon Oconnor, M.D.

  • Family Medicine Physician
  • Port Jervis, NY
  • NPI 1467624494
  Medicare reassignment NPD
• Richard Blazeski

  • Physician Assistant
  • Port Jervis, NY
  • NPI 1407684905
  Medicare reassignment
• Brittany Maureen Kozala, PA-C

  • Physician Assistant
  • Port Jervis, NY
  • NPI 1568155059
  Medicare reassignment
• Allyson Kristen Favuzza, DNP, CRNP, FNP-C

  • Family Nurse Practitioner
  • Covington Township, PA
  • NPI 1740662683
  NPD (past)

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

{
    "created_epoch": "1508976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508976000000",
    "number": "1932611340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 CONGRESS RD",
            "city": "MILFORD",
            "state": "PA",
            "postal_code": "183377057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 ORCHARD ST",
            "city": "PORT JERVIS",
            "state": "NY",
            "postal_code": "12771",
            "telephone_number": "609-661-2945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE PEDIATRICS P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-26",
        "last_updated": "2017-10-26",
        "status": "A",
        "authorized_official_last_name": "LITTLE",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "609-661-2945",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Elizabeth Ayers Lehn, LMSW
• Robert J Lehrer, OD
• Leroy Leonard Jr., FNP
• James Levinsohn, MD
• Heather Grace Lindsley
• Julie Little-Young, COTA
• Karen Ann Little, M.S.P.T.
• Roselle Aguila Little, FNP-C
• Sara J. Little, MD
• Emmanuel Llado, MD

• Pediatrics Physician in Port Jervis, NY
• Providers in Port Jervis, 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 Oct 26, 2017; 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.