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PEDIATRIC AND ADOLESCENT MEDICINE
NPI 1073612768
Pediatrics - Adolescent Medicine in New York, NY

Active since September 21, 2006CLIA 33D0131875 · Certificate of Compliance
390 W END AVE, NEW YORK, NY 10024(212) 787-1444(212) 799-8620 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pediatric And Adolescent Medicine NPPES

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

PEDIATRIC AND ADOLESCENT MEDICINE (NPI 1073612768) is a healthcare organization registered as an adolescent medicine in New York, New York and active in the NPI registry since September 2006. The organization holds a CLIA Certificate of Compliance certificate valid through August 30, 2027 and lists Max Kahn, Senior Partner In Practice, as its authorized official.

NPPES Registry Identity

NPI1073612768
Entity TypeOrganization
Primary Taxonomy2080A0000X
Legal Business NamePEDIATRIC AND ADOLESCENT MEDICINE
Location Address390 W END AVENew York, NY 10024-6107
Mailing Address390 W End AveNew York, NY 10024-6107 · (212) 787-1444 · Fax (212) 799-8620
Phone(212) 787-1444
Fax(212) 799-8620
Organization SubpartNo
Authorized OfficialMax KahnSenior Partner In Practice · (212) 787-1444
Enumeration DateSeptember 21, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1073612768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
390 W END AVE, New York, NY 10024
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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 Compliance 33D0131875

Pediatric And Adolescent Medicine LLP · New York, NY
Active · expires Aug 30, 2027
CLIA Number33D0131875
Laboratory TypePhysician Office
Certificate Effective DateAugust 31, 2025
Certificate Expiration DateAugust 30, 2027
Laboratory DirectorDr. Herbert M. Lazarus
Laboratory Phone(212) 787-1444
Laboratory LocationPediatric And Adolescent Medicine LLP390 West End Avenue, Suite 1 E, New York, NY 10024
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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.

KATHLEEN YOUNG P.N.P.
Nurse Practitioner (Pediatrics)
390 W END AVE
NEW YORK, NY 10024
New York County (212) 787-1444
RONALD S. SUNSHINE, PH.D.,LCSW,P.C.
Social Worker (Clinical)
390 W END AVE
NEW YORK, NY 10024
New York County (212) 595-5444
DR. DAVID CHALFIN M.D.,PH.D.
Internal Medicine (Gastroenterology)
390 W END AVE
NEW YORK, NY 10024
New York County (212) 799-0204
PATRICIA GARDNER N.P.
Nurse Practitioner (Pediatrics)
390 W END AVE
NEW YORK, NY 10024
New York County (212) 787-1444
ERIC BERKOWITZ MD PC
Clinic/Center (Medical Specialty)
390 W END AVE, 1G
NEW YORK, NY 10024
New York County (917) 453-8072
LAUREN SYDNEY CHEIFETZ PA-C
Physician Assistant
390 W END AVE
NEW YORK, NY 10024
New York County (212) 877-0171
SUE SHERLOCK P.N.P.
Nurse Practitioner (Pediatrics)
390 W END AVE
NEW YORK, NY 10024
New York County (212) 787-1444
JENNIFER HENLE
Pediatrics (Adolescent Medicine)
390 W END AVE
NEW YORK, NY 10024
New York County (212) 787-1444

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 Pediatric And Adolescent Medicine's NPI number?

The NPI number for Pediatric And Adolescent Medicine is 1073612768. It was assigned to this organization in the NPPES registry on September 21, 2006.

Where is Pediatric And Adolescent Medicine located?

Pediatric And Adolescent Medicine is located at 390 W End Ave, New York, NY 10024. The listed phone number is (212) 787-1444.

What is Pediatric And Adolescent Medicine's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Does Pediatric And Adolescent Medicine hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 33D0131875) is associated with this NPI, valid through August 30, 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 Pediatric And Adolescent Medicine was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.