1. Home
  2. Directory
  3. New York
  4. Bronx
  5. Nurse Practitioner
  6. NPI Profile

BOSTON PEDIATRICS PLLC
NPI 1043682040
Nurse Practitioner in Bronx, NY

Active since October 29, 2015CLIA 33D0995890 · Waiver
1262 BOSTON RD, BRONX, NY 10456(718) 617-2500(718) 617-0500 Get Directions Write a Review

NPPES record last updated: October 29, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Boston Pediatrics Pllc NPPES

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

BOSTON PEDIATRICS PLLC (NPI 1043682040) is a healthcare organization registered as a nurse practitioner in Bronx, New York and active in the NPI registry since October 2015. The organization holds a CLIA Waiver certificate valid through May 22, 2027 and lists Eva M Ventura, Manager, as its authorized official.

NPPES Registry Identity

NPI1043682040
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameBOSTON PEDIATRICS PLLC
Location Address1262 BOSTON RDBronx, NY 10456-3602
Mailing Address1262 Boston RdBronx, NY 10456-3602
Phone(718) 617-2500
Fax(718) 617-0500
Organization SubpartNo
Authorized OfficialEva M VenturaManager · (718) 617-2500
Enumeration DateOctober 29, 2015
✔ NPI 1043682040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NY · F339460-1
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1262 BOSTON RD, Bronx, NY 10456
Open in Google Maps ↗

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 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 33D0995890

Boston Pediatrics PLLC · Bronx, NY
Active · expires May 22, 2027
CLIA Number33D0995890
Laboratory TypePhysician Office
Certificate Effective DateMay 23, 2025
Certificate Expiration DateMay 22, 2027
Laboratory DirectorDr. Jorge L. Cornielle
Laboratory Phone(718) 617-2500
Laboratory LocationBoston Pediatrics PLLC1262 Boston Road, Suite 1, Bronx, NY 10456
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 16

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

DR. HANNY MERCEDES HERNANDEZ D.P.M
Podiatrist (Foot & Ankle Surgery)
1262 BOSTON RD
BRONX, NY 10456
Bronx County (347) 862-9092
ESTEFANY YANERYS MORILLO TAMAYO M.D
Pediatrics
1262 BOSTON RD, SUITE 1
BRONX, NY 10456
Bronx County (718) 617-2500
DR. JORGE LUIS CORNIELLE MD
Pediatrics
1262 BOSTON RD
BRONX, NY 10456
Bronx County (718) 617-2500
MARCIA PEHR DO
Emergency Medicine
1262 BOSTON RD, SUITE 2
BRONX, NY 10456
Bronx County (718) 569-7929
BOSTON PEDIATRICS, PLLC
Pediatrics
1262 BOSTON RD, SUITE 1
BRONX, NY 10456
Bronx County (718) 617-2500
MS. ROMY G FABAL FNP
Nurse Practitioner (Family)
1262 BOSTON RD
BRONX, NY 10456
Bronx County (718) 617-2500
HEART OF NY CARDIOLOGY, PC
Internal Medicine (Interventional Cardiology)
1262 BOSTON RD
BRONX, NY 10456
Bronx County (917) 991-7563
CECILIA GRISELDA CALDERON MD
Internal Medicine
1262 BOSTON RD, SUITE 2
BRONX, NY 10456
Bronx County (718) 569-7929

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 Boston Pediatrics PLLC's NPI number?

The NPI number for Boston Pediatrics PLLC is 1043682040. It was assigned to this organization in the NPPES registry on October 29, 2015.

Where is Boston Pediatrics PLLC located?

Boston Pediatrics PLLC is located at 1262 Boston Rd, Bronx, NY 10456. The listed phone number is (718) 617-2500.

What is Boston Pediatrics PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Does Boston Pediatrics PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D0995890) is associated with this NPI, valid through May 22, 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 Boston Pediatrics PLLC was last updated on October 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.