- Practice location
- 4 Medical Park Dr, Suite C, Pomona, NY 10970-3516
- Phone
- 845-362-0202
- Fax
- 845-362-1347
- Last updated
- April 25, 2008
Pomona Pediatrics PC is a healthcare organization based in Pomona, NY. Pomona Pediatrics PC practices in Pomona, NY. The NPI Number for Pomona Pediatrics PC is 1033291067 and holds a License No. 145137 (NY). The current practice location address for Pomona Pediatrics PC is 4 Medical Park Dr, Suite C, Pomona, NY 10970-3516 and can be reached out via phone at 845-362-0202 and via fax at 845-362-1347.
Provider Profile Details
- NPI Number
- 1033291067
- Provider Name
- Pomona Pediatrics PC
- Provider Entity Type
- Organization
- Address
- 4 Medical Park Dr, Suite C, Pomona, NY 10970-3516
- Phone Number
- 845-362-0202
- Fax Number
- 845-362-1347
- Primary Taxonomy
- Pediatrics · 208000000X
- Organization Subpart
- No
- Authorized Official
- Dr. Jesse Hackell · Physician · 845-362-0202
- Provider Enumeration Date
- October 19, 2006
- Last Update Date
- April 25, 2008
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 4 Medical Park Dr
Suite C
Pomona, NY 10970-3516 - City
- Pomona
- State
- New York
- Zip
- 10970-3516
- Phone Number
- 845-362-0202
- Fax Number
- 845-362-1347
Provider Business Mailing Address Details
- Address
- 4 Medical Park Drive
Suite C
Pomona, NY 10970 - City
- Pomona
- State
- NY
- Zip
- 10970
- Phone Number
- 845-362-0202
- Fax Number
- 845-362-1347
License Information
- License Number
- 145137
- License State
- NY
- Taxonomy
- Pediatrics · 208000000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Pediatrics providers near Pomona, NY
View all Pediatrics providers in Pomona →Frequently Asked Questions
What is the NPI number of Pomona Pediatrics PC?
The NPI number of Pomona Pediatrics PC is 1033291067. It was assigned on October 19, 2006 and is currently active in the NPPES registry.
What is the specialty of Pomona Pediatrics PC?
Pomona Pediatrics PC is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in NY under license number 145137.
Where does Pomona Pediatrics PC practice?
The practice location is 4 Medical Park Dr, Suite C, Pomona, NY 10970-3516. The office can be reached at 845-362-0202 (phone) or 845-362-1347 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1033291067 directly on the NPPES registry website.