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BRENTWOOD PEDIATRIC & ADOLESCENT ASSOCIATES, PC
NPI 1578753075
Pediatrics - Adolescent Medicine in Bay Shore, NY

Active since July 31, 2007CLIA 33D1061157 · Certificate of Compliance
1464 5TH AVE, BAY SHORE, NY 11706(631) 231-5070(631) 435-3288 Get Directions Write a Review

NPPES record last updated: May 15, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Brentwood Pediatric & Adolescent Associates, Pc NPPES

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

BRENTWOOD PEDIATRIC & ADOLESCENT ASSOCIATES, PC (NPI 1578753075) is a healthcare organization registered as an adolescent medicine in Bay Shore, New York and active in the NPI registry since July 2007. The organization holds a CLIA Certificate of Compliance certificate valid through October 31, 2027 and lists Juan C Espinoza, President, as its authorized official.

NPPES Registry Identity

NPI1578753075
Entity TypeOrganization
Primary Taxonomy2080A0000X
Legal Business NameBRENTWOOD PEDIATRIC & ADOLESCENT ASSOCIATES, PC
Location Address1464 5TH AVEBay Shore, NY 11706-4147
Mailing Address1464 5th AveBay Shore, NY 11706-4147 · (631) 231-5070 · Fax (631) 435-3288
Phone(631) 231-5070
Fax(631) 435-3288
Organization SubpartNo
Authorized OfficialJuan C EspinozaPresident · (631) 231-5070
Enumeration DateJuly 31, 2007
Last NPPES UpdateMay 15, 2015
✔ NPI 1578753075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License✔ Licensed in NY · 224588-1
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
1464 5TH AVE, Bay Shore, NY 11706
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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 33D1061157

Brentwood Pediatric & Adolescent Associates PC · Bay Shore, NY
Active · expires Oct 31, 2027
CLIA Number33D1061157
Laboratory TypePhysician Office
Certificate Effective DateNovember 1, 2025
Certificate Expiration DateOctober 31, 2027
Laboratory DirectorDr. Michael W. Lee
Laboratory Phone(631) 231-5070
Laboratory LocationBrentwood Pediatric & Adolescent Associates PC1464 Fifth Avenue, Bay Shore, NY 11706
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.

Other Providers at the Same Location NPPES 4

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

RAYSA ORTIZ FNP
Nurse Practitioner (Family)
1464 5TH AVE
BAY SHORE, NY 11706
Suffolk County (631) 231-5070
VINGHING CHENG
Physician Assistant
1464 5TH AVE
BAY SHORE, NY 11706
Suffolk County (631) 231-5070
KATHERINE SILVA PA
Physician Assistant
1464 5TH AVE
BAY SHORE, NY 11706
Suffolk County (631) 231-5070
ANYELINA MARIA DE LA CRUZ M.D
Pediatrics
1464 5TH AVE
BAY SHORE, NY 11706
Suffolk County (631) 231-5070

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 Brentwood Pediatric & Adolescent Associates, PC's NPI number?

The NPI number for Brentwood Pediatric & Adolescent Associates, PC is 1578753075. It was assigned to this organization in the NPPES registry on July 31, 2007.

Where is Brentwood Pediatric & Adolescent Associates, PC located?

Brentwood Pediatric & Adolescent Associates, PC is located at 1464 5th Ave, Bay Shore, NY 11706. The listed phone number is (631) 231-5070.

What is Brentwood Pediatric & Adolescent Associates, PC's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Does Brentwood Pediatric & Adolescent Associates, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 33D1061157) is associated with this NPI, valid through October 31, 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 Brentwood Pediatric & Adolescent Associates, PC was last updated on May 15, 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.