JACK DANIEL HALLIGAN MD
NPI 1003437310
Pediatrics in Bronx, NY

Active since April 28, 2020
111 E 210TH ST, BRONX, NY 10467(718) 920-4321 Get Directions Write a Review

NPPES record last updated: April 8, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 8, 2025, May 11, 2023, Jun 5, 2020 (3 updates tracked since 2020).

About Jack Daniel Halligan Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACK DANIEL HALLIGAN MD (NPI 1003437310) is an individual pediatrics provider in Bronx, New York, licensed in Pennsylvania (MT220997) and active in the NPI registry since April 2020.

NPPES Registry Identity

NPI1003437310
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameJACK DANIEL HALLIGANCredential: MD
Location Address111 E 210TH STBronx, NY 10467-2401
Mailing Address111 E 210th StBronx, NY 10467-2401 · (718) 920-4321
Sole ProprietorYes
Enumeration DateApril 28, 2020
Last NPPES UpdateApril 8, 20253 updates tracked since enumeration
NPPES CertifiedApril 8, 2025
NPI 1003437310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in PA · MT220997
Definition

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 325482 (NY)
111 E 210TH ST, Bronx, NY 10467

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Anesthetist, Certified Registered
111 E 210TH ST
BRONX, NY 10467
Nuclear Medicine
111 E 210TH ST
BRONX, NY 10467
Pediatrics (Pediatric Endocrinology)
111 E 210TH ST
BRONX, NY 10467
Internal Medicine (Critical Care Medicine)
111 E 210TH ST, MONTEFIORE MEDICAL CENTER
BRONX, NY 10467
Emergency Medicine
111 E 210TH ST
BRONX, NY 10467
Pathology (Anatomic Pathology & Clinical Pathology)
111 E 210TH ST, MONTEFIORE MED CTR DEPT PATHOLOGY
BRONX, NY 10467
Nurse Practitioner (Adult Health)
111 E 210TH ST
BRONX, NY 10467
Pediatrics
111 E 210TH ST, ROSENTHAL 4
BRONX, NY 10467

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003437310, enumerated as an "individual" on April 28, 2020.

The provider is located at 111 E 210TH ST BRONX, NY 10467 and the phone number is (718) 920-4321.

Pediatrics with taxonomy code 208000000X.