LEWISTON VILLAGE PEDIATRICS – NPI #1629177134
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.

LEWISTON VILLAGE PEDIATRICS is a provider located in LEWISTON, NY. NPPES has assigned the NPI number 1629177134 to LEWISTON VILLAGE PEDIATRICS on September 21, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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 10 years ago on Aug 04, 2016. 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 LEWISTON VILLAGE PEDIATRICS below.

NPI Profile for
LEWISTON VILLAGE PEDIATRICS

NPI Number
1629177134
Enumeration Date

(more than 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
LEWISTON VILLAGE PEDIATRICS
Primary location
733 CENTER STREET
LEWISTON, NY 14092
Phone: (716) 754-7337 Fax: (716) 754-2041
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
SHAWN FERGUSON
PRESIDENT
Phone: (716) 754-7337
Updated
Identifiers

Identifiers for LEWISTON VILLAGE PEDIATRICS

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
MEDICAIDNY00586883
MEDICAIDNY00968483
MEDICAIDNY01827458
MEDICAIDNY07152689
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 131077

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.