1. Home
  2. Directory
  3. New York
  4. N Bellmore
  5. Pediatrics
  6. NPI Profile

WANTAGH PEDIATRIC PLLC
NPI 1437227865
Pediatrics in N Bellmore, NY

Active since December 01, 2006CLIA 33D0692142 · Certificate of Compliance
2415 JERUSALEM AVE, N BELLMORE, NY 11714(516) 221-5151(516) 221-0566 Get Directions Write a Review

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

About Wantagh Pediatric Pllc NPPES

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

WANTAGH PEDIATRIC PLLC (NPI 1437227865) is a healthcare organization registered as a pediatrics in N Bellmore, New York and active in the NPI registry since December 2006. The organization holds a CLIA Certificate of Compliance certificate valid through April 6, 2027 and lists Peter Axel, President, as its authorized official.

NPPES Registry Identity

NPI1437227865
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameWANTAGH PEDIATRIC PLLC
Location Address2415 JERUSALEM AVEN Bellmore, NY 11714
Mailing Address2415 Jerusalem AveN Bellmore, NY 11714 · (516) 221-5151 · Fax (516) 221-0566
Phone(516) 221-5151
Fax(516) 221-0566
Organization SubpartNo
Authorized OfficialPeter AxelPresident · (516) 221-5151
Enumeration DateDecember 1, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1437227865 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.
2415 JERUSALEM AVE, N Bellmore, NY 11714
Open in Google Maps ↗

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 33D0692142

Wantagh Pediatric, PLLC · North Bellmore, NY
Active · expires Apr 6, 2027
CLIA Number33D0692142
Laboratory TypePhysician Office
Certificate Effective DateApril 7, 2025
Certificate Expiration DateApril 6, 2027
Laboratory DirectorDr. Shahana Khan
Laboratory Phone(516) 221-5151
Laboratory LocationWantagh Pediatric, PLLC2415 Jerusalem Avenue, Suite 204, North Bellmore, NY 11710
CLIA data matches this NPI record on: 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.

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 Wantagh Pediatric PLLC's NPI number?

The NPI number for Wantagh Pediatric PLLC is 1437227865. It was assigned to this organization in the NPPES registry on December 1, 2006.

Where is Wantagh Pediatric PLLC located?

Wantagh Pediatric PLLC is located at 2415 Jerusalem Ave, N Bellmore, NY 11714. The listed phone number is (516) 221-5151.

What is Wantagh Pediatric PLLC's specialty?

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

Does Wantagh Pediatric PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 33D0692142) is associated with this NPI, valid through April 6, 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 Wantagh Pediatric PLLC 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.