Organization Active NPI

Novi Pediatric Associates

  • Pediatrics Physician
  • Novi, MI
National Provider Identifier
1972770956
Registry record updated May 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
NOVI PEDIATRIC ASSOCIATES
Practice address
26850 Providence Pkwy
455
Novi, MI 48374-1209
Phone
(248) 465-4847
Fax
(248) 465-4477
NPI assigned
May 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2008

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

Authorized official

Name
Manisha Rajul Parikh, MD
Title
Vice President
Phone
(248) 465-4847

Specialties & licenses 1

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

Addresses

Primary practice location

26850 Providence Pkwy
455
Novi, MI 48374-1209

Mailing address

26850 Providence Pkwy
455
Novi, MI 48374-1209
Phone (248) 465-4847

Other identifiers 1

IdentifierTypeStateIssuer
0F37492OtherMIBCBS GROUP

National Provider Directory

National Provider Directory

Locations

26850 Providence Pkwy
Ste 455
Novi, MI 48374
Phone (248) 465-4847

NPI Registry JSON

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

{
    "created_epoch": "1210291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210291200000",
    "number": "1972770956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26850 PROVIDENCE PKWY",
            "address_2": "455",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483741209",
            "telephone_number": "248-465-4847",
            "fax_number": "248-465-4477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26850 PROVIDENCE PKWY",
            "address_2": "455",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483741209",
            "telephone_number": "248-465-4847",
            "fax_number": "248-465-4477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVI PEDIATRIC ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-09",
        "last_updated": "2008-05-09",
        "status": "A",
        "authorized_official_last_name": "PARIKH",
        "authorized_official_first_name": "MANISHA",
        "authorized_official_middle_name": "RAJUL",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "248-465-4847",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP",
            "identifier": "0F37492",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.