Pediatrics In Middletown New York

NPI list of 41 pediatrics registered providers with a business address in Middletown, NY of which 6 are registered as organizations and 35 as individuals. 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.

NPI Name Type Taxonomy Address Medicare PECOS
1003976283WILLIAM ANTHONY ROSEIndividualPediatrics400 MIDWAY PARK DRIVE ORANGE PEDIATRIC ASSOCIATES PC
MIDDLETOWN, NY 10940
(845) 343-0728
Non-Participating ProviderNO
1023163953HARTLEY S. BANCROFTIndividualPediatrics400 MIDWAY PARK DR
MIDDLETOWN, NY 10940
(845) 343-0728
Non-Participating ProviderYES
1043271851DRORA F. HIRSCHIndividualPediatrics707 E MAIN ST
MIDDLETOWN, NY 10940
(845) 333-1774
Accepts MedicareYES
1053918904ORANGE MEDICAL ASSOCIATES, LLP
ORANGE PEDIATRICS LLP
OrganizationPediatrics
(Adolescent Medicine)
400 MIDWAY PARK DRIVE
MIDDLETOWN, NY 10940
(845) 343-0728
Non-Participating ProviderNO
1134573058POOJA CHANDRAIndividualPediatrics707 E MAIN ST
MIDDLETOWN, NY 10940
(845) 333-7575
Non-Participating ProviderYES
1144369554DANIEL JOSEPH OHERNIndividualPediatrics155 CRYSTAL RUN RD
MIDDLETOWN, NY 10941
(845) 703-6999
Non-Participating ProviderNO
1184617144JILL HIRSCHIndividualPediatrics155 CRYSTAL RUN RD
MIDDLETOWN, NY 10941
(845) 703-6999
Non-Participating ProviderNO
1215920244PHILIP D. WILKENIndividualPediatrics155 CRYSTAL RUN RD
MIDDLETOWN, NY 10941
(845) 703-6999
Maybe Accepts MedicareYES
1285600080ERIC FETHKEIndividualPediatrics
(Pediatric Cardiology)
212 CRYSTAL RUN RD
MIDDLETOWN, NY 10941
(845) 703-7000
Accepts MedicareYES
1285768143BARRY C ALTURAIndividualPediatrics100 CRYSTAL RUN RD SUITE 107
MIDDLETOWN, NY 10941
(845) 703-6999
Non-Participating ProviderNO
1366554594ORANGE PEDIATRIC ASSOCIATES PCOrganizationPediatrics400 MIDWAY PARK DRIVE
MIDDLETOWN, NY 10940
(845) 343-0728
Non-Participating ProviderNO
1407874563LERNICE L. HENRYIndividualPediatrics100 CRYSTAL RUN RD
MIDDLETOWN, NY 10941
(845) 703-6999
Non-Participating ProviderYES
1417025321LIN LIN YU LIN REMENARIndividualPediatrics300 CRYSTAL RUN RD
MIDDLETOWN, NY 10941
(845) 703-6999
Non-Participating ProviderYES
1417137696ANJANA POONTHOTAIndividualPediatrics707 E MAIN ST
MIDDLETOWN, NY 10940
(845) 333-3370
Non-Participating ProviderYES
1467670620HUDSON VALLEY PEDIATRICSOrganizationPediatrics100 CRYSTAL RUN RD SUITE 107
MIDDLETOWN, NY 10941
(845) 692-6996
Non-Participating ProviderNO
1467687210SUSAN BETH MAISEYIndividualPediatrics21 ORCHARD ST
MIDDLETOWN, NY 10940
(845) 343-7614
Non-Participating ProviderYES
1497889232PAUL M BAKERIndividualPediatrics100 CRYSTAL RUN RD
MIDDLETOWN, NY 10941
(845) 703-6999
Non-Participating ProviderYES
1497963599MICHAELLE ANTOINEIndividualPediatrics300 CRYSTAL RUN RD
MIDDLETOWN, NY 10941
(845) 703-6999
Non-Participating ProviderYES
1508866187AMY E. SPOTOIndividualPediatrics100 CRYSTAL RUN RD SUITE 107
MIDDLETOWN, NY 10941
(845) 703-6999
Accepts MedicareYES
1518186840SAMATHA BAGAMIndividualPediatrics100 CRYSTAL RUN RD SUITE# 107
MIDDLETOWN, NY 10941
(845) 703-6999
Accepts MedicareYES
1528187572DUNNING ROAD PEDIATRICSOrganizationPediatrics390 CRYSTAL RUN ROAD SUITE110
MIDDLETOWN, NY 10941
(845) 703-1881
Non-Participating ProviderNO
1528192804PATRICIA LYNCHIndividualPediatrics100 CRYSTAL RUN ROAD SUITE 107
MIDDLETOWN, NY 10940
(845) 703-6999
Non-Participating ProviderYES
1568404283ERENA TRESKOVAIndividualPediatrics
(Pediatric Gastroenterology)
682 E MAIN ST STE 2D
MIDDLETOWN, NY 10940
(845) 341-0264
Non-Participating ProviderNO
1578970349NELLI GLUZMANIndividualPediatrics707 E MAIN ST
MIDDLETOWN, NY 10940
(845) 333-3370
Non-Participating ProviderYES
1609863364JULIAN NELSONIndividualPediatrics300 CRYSTAL RUN RD
MIDDLETOWN, NY 10941
(845) 703-6999
Non-Participating ProviderYES
1619119286BEN NUMPANGIndividualPediatrics
(Neonatal-Perinatal Medicine)
GARNET HEALTH MEDICAL CENTER 707 EAST MAIN STREET
MIDDLETOWN, NY 10940
(845) 333-6270
Non-Participating ProviderYES
1679649933JOCELYN A. DUMMETTIndividualPediatrics300 CRYSTAL RUN RD
MIDDLETOWN, NY 10941
(845) 703-6999
Non-Participating ProviderYES
1700817640MANA DEJHALLAIndividualPediatrics
(Neonatal-Perinatal Medicine)
707 E MAIN ST
MIDDLETOWN, NY 10940
(845) 333-1000
Non-Participating ProviderNO
1740314533RICHARD T. FUCHSIndividualPediatrics100 CRYSTAL RUN RD SUITE 107
MIDDLETOWN, NY 10941
(845) 703-6999
Non-Participating ProviderYES
1760502132MICHELE E CALDERONIIndividualPediatrics
(Adolescent Medicine)
155 CRYSTAL RUN RD
MIDDLETOWN, NY 10941
(845) 703-6999
Non-Participating ProviderYES
1770620163THE PEDIATRIC SPECIALTY PRACTICES OF THE GREATER HUDSON VALLEYOrganizationPediatrics
(Pediatric Cardiology)
75 CRYSTAL RUN RD SUITE 102
MIDDLETOWN, NY 10941
(845) 703-7000
Non-Participating ProviderNO
1770758534MA FATIMA CLARA PIA REYESIndividualPediatrics111 MALTESE DR
MIDDLETOWN, NY 10940
(845) 342-4774
Non-Participating ProviderYES
1831622828SHARI WALLACEIndividualPediatrics14 GROVE ST
MIDDLETOWN, NY 10940
(845) 563-8000
Non-Participating ProviderYES
1891855086EMILY R BROWNIndividualPediatrics212 CRYSTAL RUN RD
MIDDLETOWN, NY 10941
(845) 281-7667
Non-Participating ProviderYES
1902259278ISWARYA JAGADESANIndividualPediatrics707 E MAIN ST
MIDDLETOWN, NY 10940
(845) 333-3370
Non-Participating ProviderYES
1912047861MIDDLETOWN COMMUNITY HEALTH CENTER INCOrganizationPediatrics14 GROVE STREET
MIDDLETOWN, NY 10940
(845) 344-2273
Non-Participating ProviderNO
1922031962ASLAM JANGDAIndividualPediatrics300 CRYSTAL RUN RD
MIDDLETOWN, NY 10941
(845) 703-6999
Non-Participating ProviderYES
1932233293DAVID HILLIndividualPediatrics100 CRYSTAL RUN ROAD SUITE 107
MIDDLETOWN, NY 10940
(845) 703-6999
Non-Participating ProviderYES
1932337169ANEELA A KUNDNANI-KRIPLANIIndividualPediatrics155 CRYSTAL RUN RD
MIDDLETOWN, NY 10941
(845) 703-6999
Non-Participating ProviderYES
1952396228JOANNA BARBARA BOCHENEKIndividualPediatrics400 MIDWAY PARK DR
MIDDLETOWN, NY 10940
(845) 343-0728
Non-Participating ProviderYES
1982870077WARREN GILMANIndividualPediatrics7 STARHAVEN AVE
MIDDLETOWN, NY 10940
(845) 343-6280
Opted out of MedicareYES

Medicare Participation

  • Participating providers are registered with Medicare and accept claims assignment. Taking claims assignment means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or co-payment amount for a visit or service.
  • Non-Participating providers do not agree to take Medicare claims assignment. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.
  • Opt-out providers signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so.

What is PECOS?

PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals eligible to order or refer healthcare services for Medicare patients.