COMMUNITY PEDIATRICIAN, PLLC
NPI 1114361482
Pediatrics in Woodside, NY

Active since April 17, 2013CLIA 33D2065431 · Waiver
5314 ROOSEVELT AVE, 2ND FLOOR, WOODSIDE, NY 11377(718) 205-6160(718) 205-6180 Get Directions Write a Review

NPPES record last updated: April 17, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Community Pediatrician, Pllc NPPES

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

COMMUNITY PEDIATRICIAN, PLLC (NPI 1114361482) is a healthcare organization registered as a pediatrics in Woodside, New York and active in the NPI registry since April 2013. The organization holds a CLIA Waiver certificate valid through September 8, 2027 and lists Anca M Barbulescu, Pediatrician, as its authorized official.

NPPES Registry Identity

NPI1114361482
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameCOMMUNITY PEDIATRICIAN, PLLC
Location Address5314 ROOSEVELT AVE, 2ND FLOORWoodside, NY 11377-4239
Mailing Address5314 Roosevelt Ave, 2nd FloorWoodside, NY 11377-4239 · (718) 205-6160 · Fax (718) 205-6180
Fax(718) 205-6180
Organization SubpartNo
Authorized OfficialAnca M BarbulescuPediatrician · (718) 205-6160
Enumeration DateApril 17, 2013
NPI 1114361482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in NY · 242088
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.
5314 ROOSEVELT AVE, Woodside, NY 11377

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 33D2065431

Community Pediatrician, PLLC · Woodside, NY
Active · expires Sep 8, 2027
CLIA Number33D2065431
Laboratory TypePhysician Office
Certificate Effective DateSeptember 9, 2025
Certificate Expiration DateSeptember 8, 2027
Laboratory DirectorDr. Anca M. Barbulescu
Laboratory Phone(718) 205-6160
Laboratory LocationCommunity Pediatrician, PLLC53-14 Roosevelt Avenue, 2nd Floor, Woodside, NY 11377
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 5

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

Physical Medicine & Rehabilitation
5314 ROOSEVELT AVE
WOODSIDE, NY 11377
Specialist
5314 ROOSEVELT AVE
WOODSIDE, NY 11377
Pediatrics
5314 ROOSEVELT AVE, 2ND FLOOR
WOODSIDE, NY 11377
Pharmacy
5314 ROOSEVELT AVE
WOODSIDE, NY 11377
Clinic/Center (Infusion Therapy)
5314 ROOSEVELT AVE, 2ND FLOOR
WOODSIDE, NY 11377

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 Community Pediatrician, PLLC's NPI number?

The NPI number for Community Pediatrician, PLLC is 1114361482. It was assigned to this organization in the NPPES registry on April 17, 2013.

Where is Community Pediatrician, PLLC located?

Community Pediatrician, PLLC is located at 5314 Roosevelt Ave 2nd Floor, Woodside, NY 11377. The listed phone number is (718) 205-6160.

What is Community Pediatrician, PLLC's specialty?

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

Does Community Pediatrician, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2065431) is associated with this NPI, valid through September 8, 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 Community Pediatrician, PLLC was last updated on April 17, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.