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THEODORA PANTELOGLOU D.O.
NPI 1487661401
Pediatrics in Bayside, NY

Active since August 02, 2006CLIA 33D2002993 · Waiver
21430 46TH AVE, BAYSIDE, NY 11361(718) 229-1064(718) 423-2924 Get Directions Write a Review

NPPES record last updated: March 27, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Theodora Panteloglou D.o. NPPES

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

THEODORA PANTELOGLOU D.O. (NPI 1487661401) is an individual pediatrics provider in Bayside, New York, licensed in New York (222871) and active in the NPI registry since August 2006. She holds a CLIA Waiver certificate valid through January 28, 2028.

NPPES Registry Identity

NPI1487661401
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameTHEODORA PANTELOGLOUCredential: D.O.
Location Address21430 46TH AVEBayside, NY 11361-3316
Mailing Address6 Orchard PlValley Stream, NY 11580-5003 · (516) 285-8219
Phone(718) 229-1064
Fax(718) 423-2924
Sole ProprietorYes
Enumeration DateAugust 2, 2006
Last NPPES UpdateMarch 27, 2008
✔ NPI 1487661401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NY · 222871
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.
21430 46TH AVE, Bayside, NY 11361
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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 33D2002993

Theodora Panteloglou, Do · Bayside, NY
Active · expires Jan 28, 2028
CLIA Number33D2002993
Laboratory TypePhysician Office
Certificate Effective DateJanuary 29, 2026
Certificate Expiration DateJanuary 28, 2028
Laboratory DirectorMr. Theodora Panteloglou
Laboratory Phone(718) 229-1064
Laboratory LocationTheodora Panteloglou, Do214-30 46th Avenue, Bayside, NY 11361
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Theodora Panteloglou's NPI number?

The NPI number for Theodora Panteloglou is 1487661401. It was assigned to this individual provider in the NPPES registry on August 2, 2006.

Where is Theodora Panteloglou located?

Theodora Panteloglou practices at 21430 46th Ave, Bayside, NY 11361. The listed phone number is (718) 229-1064.

What is Theodora Panteloglou's specialty?

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

Does Theodora Panteloglou hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2002993) is associated with this NPI, valid through January 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Theodora Panteloglou was last updated on March 27, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.