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ANGELICA IRENE SUPANSIC D.O.
NPI 1477954378
Pediatrics in New York, NY

Active since September 10, 2014
160 BENNETT AVE, LIGHTHOUSE PEDIATRICS, NEW YORK, NY 10040(212) 781-0800 Get Directions Write a Review

NPPES record last updated: July 28, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Angelica Irene Supansic D.o. NPPES

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

ANGELICA IRENE SUPANSIC D.O. (NPI 1477954378) is an individual pediatrics provider in New York, New York, licensed in New York (280787) and active in the NPI registry since September 2014.

NPPES Registry Identity

NPI1477954378
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameANGELICA IRENE SUPANSICCredential: D.O.
Location Address160 BENNETT AVE, LIGHTHOUSE PEDIATRICSNew York, NY 10040-3803
Mailing Address160 Bennett Ave, Lighthouse PediatricsNew York, NY 10040-3803 · (212) 781-0800
Phone(212) 781-0800
Sole ProprietorNo
Enumeration DateSeptember 10, 2014
Last NPPES UpdateJuly 28, 2015
✔ NPI 1477954378 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NY · 280787
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
160 BENNETT AVE, New York, NY 10040
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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.

TYLER ALEXANDRO DIAZ LCSW
Social Worker (Clinical)
160 BENNETT AVE
NEW YORK, NY 10040
New York County (714) 614-7327
DR. MEE YEE YOLANDA ENG M.D.
Pediatrics
160 BENNETT AVE
NEW YORK, NY 10040
New York County (212) 781-0800
LIGHTHOUSE PEDIATRICS, PC
Pediatrics
160 BENNETT AVE
NEW YORK, NY 10040
New York County (212) 781-0800
DR. CHAIM S WEXLER DDS
Dentist (General Practice)
160 BENNETT AVE, APT 1B
NEW YORK, NY 10040
New York County (212) 740-7427
MS. REBECCA H MILLER MS, RD
Dietitian, Registered
160 BENNETT AVE
NEW YORK, NY 10040
New York County (212) 781-0800

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 Angelica Supansic's NPI number?

The NPI number for Angelica Supansic is 1477954378. It was assigned to this individual provider in the NPPES registry on September 10, 2014.

Where is Angelica Supansic located?

Angelica Supansic practices at 160 Bennett Ave Lighthouse Pediatrics, New York, NY 10040. The listed phone number is (212) 781-0800.

What is Angelica Supansic's specialty?

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

When was this NPI record last updated?

The NPPES record for Angelica Supansic was last updated on July 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.