Provider Demographics
NPI:1912039074
Name:PEDIATRICS 2000 II PC
Entity Type:Organization
Organization Name:PEDIATRICS 2000 II PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JUAN
Authorized Official - Middle Name:
Authorized Official - Last Name:TAPIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-694-2000
Mailing Address - Street 1:600 W 150TH ST STE 1
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10031-2428
Mailing Address - Country:US
Mailing Address - Phone:212-694-2000
Mailing Address - Fax:
Practice Address - Street 1:600 W 150TH ST STE 1
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10031-2428
Practice Address - Country:US
Practice Address - Phone:212-694-2000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-12
Last Update Date:2008-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1700813995OtherNPI
NY1407967516OtherNPI
NY1225131592OtherNPI
NY1326141698OtherNPI
NY1720184153OtherNPI
NY1760586457OtherNPI
NY02047134Medicaid
NY1124139225OtherNPI
NY1346352408OtherNPI
NY1578666061OtherNPI
NY1790779064OtherNPI
NY1194828459OtherNPI