BOSTON PEDIATRICS, PLLC – NPI #1275724767
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

BOSTON PEDIATRICS, PLLC is a provider located in BRONX, NY. NPPES has assigned the NPI number 1275724767 to BOSTON PEDIATRICS, PLLC on August 08, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The former legal business name for this organization is BOSTON ROAD PEDIATRICS, PC. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was previously updated about 13 years ago on Jan 31, 2013. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BOSTON PEDIATRICS, PLLC below.

NPI Profile for
BOSTON PEDIATRICS, PLLC

NPI Number
1275724767
Enumeration Date

(about 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BOSTON PEDIATRICS, PLLC
Former Legal Business Name: BOSTON ROAD PEDIATRICS, PC
Primary location
1262 BOSTON RD
SUITE 1
BRONX, NY 10456-3602
Phone: (718) 617-2500 Fax: (718) 617-0500
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JORGE CORNIELLE
MEDICAL DOCTOR
Phone: (718) 617-2500
Updated
Identifiers

Identifiers for BOSTON PEDIATRICS, PLLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDNV02087341
MEDICAIDNY03426235
MEDICAIDNY02269730
MEDICAIDNY03305057
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208000000X
- Pediatrics (Primary)
NY 214716

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.