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PEDIATRIC NEUROLOGY PC
NPI 1124573522
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Hartsdale, NY

Active since August 16, 2016
210 N CENTRAL AVE STE 250, HARTSDALE, NY 10530(914) 358-1162(914) 368-8343 Get Directions Write a Review

NPPES record last updated: September 1, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 1, 2023, Aug 19, 2016 (2 updates tracked since 2016).

About Pediatric Neurology Pc NPPES

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

PEDIATRIC NEUROLOGY PC (NPI 1124573522) is a healthcare organization registered as a neurology with special qualifications in child neurology in Hartsdale, New York and active in the NPI registry since August 2016. The organization lists Maja Ilic, Md, as its authorized official.

NPPES Registry Identity

NPI1124573522
Entity TypeOrganization
Primary Taxonomy2084N0402X
Legal Business NamePEDIATRIC NEUROLOGY PC
Location Address210 N CENTRAL AVE STE 250Hartsdale, NY 10530-1949
Mailing Address8 Murray Hill RdScarsdale, NY 10583-2804 · (914) 358-1162 · Fax (914) 368-8343
Phone(914) 358-1162
Fax(914) 368-8343
Organization SubpartNo
Authorized OfficialMaja IlicMd · (914) 358-1162
Enumeration DateAugust 16, 2016
Last NPPES UpdateSeptember 1, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 1, 2023
✔ NPI 1124573522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0402X
License✔ Licensed in NY · 259249
Definition
A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
210 N CENTRAL AVE STE 250, Hartsdale, NY 10530
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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pediatric Neurology Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Pediatric Neurology PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Maja Ilic, M.D.
Neurology
NPI 1255652863
210 N CENTRAL AVE STE 250
Hartsdale, NY 10530
(914) 358-1162
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Neurology PC's NPI number?

The NPI number for Pediatric Neurology PC is 1124573522. It was assigned to this organization in the NPPES registry on August 16, 2016.

Where is Pediatric Neurology PC located?

Pediatric Neurology PC is located at 210 N Central Ave Ste 250, Hartsdale, NY 10530. The listed phone number is (914) 358-1162.

What is Pediatric Neurology PC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology, with taxonomy code 2084N0402X.

Is Pediatric Neurology PC enrolled in Medicare?

Yes. Pediatric Neurology PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pediatric Neurology PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Neurology) reassigns their Medicare billing to Pediatric Neurology PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Pediatric Neurology PC was last updated on September 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.