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PEDIATRIC PULMONARY MEDICINE PC
NPI 1740657360
Pediatrics - Pediatric Pulmonology in Commack, NY

Active since August 31, 2015
90 FULTON BLVD, COMMACK, NY 11725(516) 680-0924 Get Directions Write a Review

NPPES record last updated: August 31, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pediatric Pulmonary Medicine Pc NPPES

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

PEDIATRIC PULMONARY MEDICINE PC (NPI 1740657360) is a healthcare organization registered as a pediatric pulmonology in Commack, New York and active in the NPI registry since August 2015. The organization lists Dmitriy Vaysman, President, as its authorized official.

NPPES Registry Identity

NPI1740657360
Entity TypeOrganization
Primary Taxonomy2080P0214X
Legal Business NamePEDIATRIC PULMONARY MEDICINE PC
Location Address90 FULTON BLVDCommack, NY 11725-1711
Mailing Address311 Saint Nicholas AveRidgewood, NY 11385-2296 · (718) 456-9679 · Fax (718) 418-4685
Phone(516) 680-0924
Organization SubpartNo
Authorized OfficialDmitriy VaysmanPresident · (516) 680-0924
Enumeration DateAugust 31, 2015
✔ NPI 1740657360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric PulmonologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0214X
Definition
A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques.
90 FULTON BLVD, Commack, NY 11725
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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

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 Pediatric Pulmonary Medicine PC's NPI number?

The NPI number for Pediatric Pulmonary Medicine PC is 1740657360. It was assigned to this organization in the NPPES registry on August 31, 2015.

Where is Pediatric Pulmonary Medicine PC located?

Pediatric Pulmonary Medicine PC is located at 90 Fulton Blvd, Commack, NY 11725. The listed phone number is (516) 680-0924.

What is Pediatric Pulmonary Medicine PC's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Pulmonology, with taxonomy code 2080P0214X.

When was this NPI record last updated?

The NPPES record for Pediatric Pulmonary Medicine PC was last updated on August 31, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.