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PEDIATRIC FAMILY MDPC
NPI 1104975796
Pediatrics in Jackson Heights, NY

Active since January 10, 2007CLIA 33D0960935 · Waiver
3752 82ND ST, 2ND FL., JACKSON HEIGHTS, NY 11372(718) 779-5855(718) 779-1053 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pediatric Family Mdpc NPPES

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

PEDIATRIC FAMILY MDPC (NPI 1104975796) is a healthcare organization registered as a pediatrics in Jackson Heights, New York and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through May 24, 2027 and lists Hector Antonio Valencia, Owner, as its authorized official.

NPPES Registry Identity

NPI1104975796
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePEDIATRIC FAMILY MDPC
Location Address3752 82ND ST, 2ND FL.Jackson Heights, NY 11372-7032
Mailing Address3230 156th StFlushing, NY 11354-3326 · (718) 779-5855 · Fax (718) 779-1053
Phone(718) 779-5855
Fax(718) 779-1053
Organization SubpartNo
Authorized OfficialHector Antonio ValenciaOwner · (718) 779-5855
Enumeration DateJanuary 10, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1104975796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
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.
3752 82ND ST, Jackson Heights, NY 11372
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Other Identifiers 1

Medicaid01515008NY

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 33D0960935

Pediatric Family MD PC · Jackson Heights, NY
Active · expires May 24, 2027
CLIA Number33D0960935
Laboratory TypePhysician Office
Certificate Effective DateMay 25, 2025
Certificate Expiration DateMay 24, 2027
Laboratory DirectorDr. Hector A. Valencia
Laboratory Phone(718) 779-5855
Laboratory LocationPediatric Family MD PC37-52 82nd Street - 2nd Floor, Jackson Heights, NY 11372
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 4

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

EMPIRE VISION CENTER, INC.
Eyewear Supplier
3752 82ND ST
JACKSON HEIGHTS, NY 11372
Queens County (718) 899-0437
HECTOR ANTONIO VALENCIA M.D.
Pediatrics
3752 82ND ST, 2ND FL.
JACKSON HEIGHTS, NY 11372
Queens County (718) 779-5855
DAVID S WINTER M.D.
Pediatrics
3752 82ND ST, 2ND FL
JACKSON HEIGHTS, NY 11372
Queens County (718) 779-5855
LIDIA GARCIA M.D.
Pediatrics
3752 82ND ST, 2ND FLOOR
JACKSON HEIGHTS, NY 11372
Queens County (718) 779-5855

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 Family Mdpc's NPI number?

The NPI number for Pediatric Family Mdpc is 1104975796. It was assigned to this organization in the NPPES registry on January 10, 2007.

Where is Pediatric Family Mdpc located?

Pediatric Family Mdpc is located at 3752 82nd St 2nd Fl., Jackson Heights, NY 11372. The listed phone number is (718) 779-5855.

What is Pediatric Family Mdpc's specialty?

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

Does Pediatric Family Mdpc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D0960935) is associated with this NPI, valid through May 24, 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 Family Mdpc 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.