POMONA PEDIATRICS PC
NPI 1033291067
Pediatrics in Pomona, NY

Active since October 19, 2006CLIA 33D0142250 · Waiver
4 MEDICAL PARK DR, SUITE C, POMONA, NY 10970(845) 362-0202(845) 362-1347 Get Directions Write a Review

NPPES record last updated: April 25, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Pomona Pediatrics Pc NPPES

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

POMONA PEDIATRICS PC (NPI 1033291067) is a healthcare organization registered as a pediatrics in Pomona, New York and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Jesse Hackell, Physician, as its authorized official.

NPPES Registry Identity

NPI1033291067
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePOMONA PEDIATRICS PC
Location Address4 MEDICAL PARK DR, SUITE CPomona, NY 10970-3516
Mailing Address4 Medical Park Drive, Suite CPomona, NY 10970 · (845) 362-0202 · Fax (845) 362-1347
Fax(845) 362-1347
Organization SubpartNo
Authorized OfficialJesse HackellPhysician · (845) 362-0202
Enumeration DateOctober 19, 2006
Last NPPES UpdateApril 25, 2008
NPI 1033291067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in NY · 145137
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.
4 MEDICAL PARK DR, Pomona, NY 10970

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D0142250

Pomona Pediatrics - Bchp · Pomona, NY
Active · expires Mar 26, 2027
CLIA Number33D0142250
Laboratory TypePhysician Office
Certificate Effective DateJuly 19, 2017
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Gerald S. Vogel
Laboratory Phone(845) 362-0202
Laboratory LocationPomona Pediatrics - Bchp974 Rte 45 - Ste 1000, Pomona, NY 10970
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

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

Pediatrics
4 MEDICAL PARK DR, 4C
POMONA, NY 10970
Ophthalmology
4 MEDICAL PARK DR
POMONA, NY 10970
Pediatrics
4 MEDICAL PARK DR, SUITE C
POMONA, NY 10970
Pediatrics
4 MEDICAL PARK DR, SUITEC
POMONA, NY 10970
Optometrist
4 MEDICAL PARK DR, A
POMONA, NY 10970
Ophthalmology
4 MEDICAL PARK DR
POMONA, NY 10970
Pediatrics
4 MEDICAL PARK DR, SUITE C
POMONA, NY 10970
Pediatrics
4 MEDICAL PARK DR
POMONA, NY 10970

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pomona Pediatrics PC's NPI number?

The NPI number for Pomona Pediatrics PC is 1033291067. It was assigned to this organization in the NPPES registry on October 19, 2006.

Where is Pomona Pediatrics PC located?

Pomona Pediatrics PC is located at 4 Medical Park Dr Suite C, Pomona, NY 10970. The listed phone number is (845) 362-0202.

What is Pomona Pediatrics PC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Pomona Pediatrics PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D0142250) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pomona Pediatrics PC was last updated on April 25, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.