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OLD COUNTRY PEDIATRICS PC
NPI 1184726960
Pediatrics in Plainview, NY

Active since September 02, 2006CLIA 33D0160273 · Certificate of Compliance
556 OLD COUNTRY RD, PLAINVIEW, NY 11803(516) 938-3232 Get Directions Write a Review

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

About Old Country Pediatrics Pc NPPES

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

OLD COUNTRY PEDIATRICS PC (NPI 1184726960) is a healthcare organization registered as a pediatrics in Plainview, New York and active in the NPI registry since September 2006. The organization holds a CLIA Certificate of Compliance certificate valid through August 25, 2026 and lists Charles L Bruzzone, President, as its authorized official.

NPPES Registry Identity

NPI1184726960
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameOLD COUNTRY PEDIATRICS PC
Location Address556 OLD COUNTRY RDPlainview, NY 11803
Mailing Address556 Old Country RdPlainview, NY 11803 · (516) 938-3232 · Fax (516) 938-8443
Phone(516) 938-3232
Organization SubpartNo
Authorized OfficialCharles L BruzzonePresident · (516) 938-3232
Enumeration DateSeptember 2, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1184726960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NY · 181879
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.
556 OLD COUNTRY RD, Plainview, NY 11803
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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 33D0160273

Old Country Pediatrics · Plainview, NY
Active · expires Aug 25, 2026
CLIA Number33D0160273
Laboratory TypePhysician Office
Certificate Effective DateAugust 26, 2024
Certificate Expiration DateAugust 25, 2026
Laboratory DirectorDr. Charles L. Bruzzone
Laboratory Phone(516) 938-3232
Laboratory LocationOld Country Pediatrics556 Old Country Rd, Plainview, NY 11803
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 2

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

DR. PAUL MUSCARELLO MD
Pediatrics
556 OLD COUNTRY RD
PLAINVIEW, NY 11803
Nassau County (516) 938-3232
CHARLES BRUZZONE MD
Pediatrics
556 OLD COUNTRY RD
PLAINVIEW, NY 11803
Nassau County (516) 938-3232

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 Old Country Pediatrics PC's NPI number?

The NPI number for Old Country Pediatrics PC is 1184726960. It was assigned to this organization in the NPPES registry on September 2, 2006.

Where is Old Country Pediatrics PC located?

Old Country Pediatrics PC is located at 556 Old Country Rd, Plainview, NY 11803. The listed phone number is (516) 938-3232.

What is Old Country Pediatrics PC's specialty?

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

Does Old Country Pediatrics PC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 33D0160273) is associated with this NPI, valid through August 25, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Old Country Pediatrics PC 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.