DR. DATEV PIDEDJIAN MD
NPI 1699730424
Pediatrics - Pediatric Emergency Medicine in Mineola, NY
About Dr. Datev Pidedjian Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. DATEV PIDEDJIAN MD (NPI 1699730424) is an individual pediatric emergency medicine provider in Mineola, New York, licensed in New York (194567) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Datev Pidedjian Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MINEOLA, NY 11501
MINEOLA, NY 11501
MINEOLA, NY 11501
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 Datev Pidedjian's NPI number?
The NPI number for Datev Pidedjian is 1699730424. It was assigned to this individual provider in the NPPES registry on April 17, 2006.
Where is Datev Pidedjian located?
Datev Pidedjian practices at 259 1st St, Mineola, NY 11501. The listed phone number is (516) 572-6131.
What is Datev Pidedjian's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.
Is Datev Pidedjian enrolled in Medicare?
Yes. Datev Pidedjian is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Datev Pidedjian was last updated on March 17, 2021. 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.
# Dr. Datev Pidedjian, MD · NPI 1699730424
Pediatric Emergency Medicine physician in Mineola, New York. Individual provider, active in the CMS NPPES registry since April 17, 2006.
## Identity
- **NPI:** 1699730424 (Entity type: Individual)
- **Enumerated:** April 17, 2006
- **Primary specialty:** Pediatrics - Pediatric Emergency Medicine · taxonomy 2080P0204X
- **State license:** 194567 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 259 1ST ST, Mineola, NY 11501-3957
- **Phone:** (516) 572-6131
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for durable medical equipment, power mobility devices
## Record status
- **NPPES last updated:** March 17, 2021
- **Other identifiers:** Medicaid 02061076 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1699730424) · Data from the CMS NPPES public registry.