GREAT NECK PEDIATRIC ASSOCIATES, PC
NPI 1679010391
Pediatrics in Great Neck, NY

Active since January 20, 2017CLIA 33D0143291 · Certificate of Compliance
173 E SHORE RD, 202, GREAT NECK, NY 11023(516) 487-4020(516) 487-4039 Get Directions Write a Review

NPPES record last updated: January 20, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Great Neck Pediatric Associates, Pc NPPES

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

GREAT NECK PEDIATRIC ASSOCIATES, PC (NPI 1679010391) is a healthcare organization registered as a pediatrics in Great Neck, New York and active in the NPI registry since January 2017. The organization holds a CLIA Certificate of Compliance certificate valid through February 2, 2027 and lists Gilbert Dick, President, as its authorized official.

NPPES Registry Identity

NPI1679010391
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameGREAT NECK PEDIATRIC ASSOCIATES, PC
Location Address173 E SHORE RD, 202Great Neck, NY 11023-2415
Mailing Address173 East Shore Rd, 202Great Neck, NY 11023 · (516) 487-4020 · Fax (516) 487-4039
Fax(516) 487-4039
Organization SubpartNo
Authorized OfficialGilbert DickPresident · (516) 487-4020
Enumeration DateJanuary 20, 2017
NPI 1679010391 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.
173 E SHORE RD, Great Neck, NY 11023

Other Identifiers 3

Medicare UPINC05268NY
Medicare UPINA65120NY
Medicare UPING28691NY

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 33D0143291

Great Neck Pediatric Associates PC · Great Neck, NY
Active · expires Feb 2, 2027
CLIA Number33D0143291
Laboratory TypePhysician Office
Certificate Effective DateFebruary 3, 2025
Certificate Expiration DateFebruary 2, 2027
Laboratory DirectorDr. Gilbert A. Dick
Laboratory Phone(516) 487-4020
Laboratory LocationGreat Neck Pediatric Associates PC173 East Shore Road, Great Neck, NY 11023
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 5

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

Pediatrics
173 E SHORE RD
GREAT NECK, NY 11023
Dietitian, Registered (Nutrition, Pediatric)
173 E SHORE RD
GREAT NECK, NY 11023
Dentist (Pediatric Dentistry)
173 E SHORE RD, SUITE 201
GREAT NECK, NY 11023
Pediatrics
173 E SHORE RD
GREAT NECK, NY 11023
Pediatrics
173 E SHORE RD
GREAT NECK, NY 11023

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 Great Neck Pediatric Associates, PC's NPI number?

The NPI number for Great Neck Pediatric Associates, PC is 1679010391. It was assigned to this organization in the NPPES registry on January 20, 2017.

Where is Great Neck Pediatric Associates, PC located?

Great Neck Pediatric Associates, PC is located at 173 E Shore Rd 202, Great Neck, NY 11023. The listed phone number is (516) 487-4020.

What is Great Neck Pediatric Associates, PC's specialty?

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

Does Great Neck Pediatric Associates, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 33D0143291) is associated with this NPI, valid through February 2, 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 Great Neck Pediatric Associates, PC was last updated on January 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.