ODEILIS MAXIEL DOMINGUEZ AMADIZ MD
NPI 1821519331
Pediatrics - Developmental - Behavioral Pediatrics in Bronx, NY

Q: What is Odeilis Dominguez Amadiz's NPI number?

The NPI number for Odeilis Dominguez Amadiz is 1821519331. It was assigned to this individual provider in the NPPES registry on July 6, 2017.

Q: What is Odeilis Dominguez Amadiz's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Developmental - Behavioral Pediatrics, with taxonomy code 2080P0006X.

Active since July 06, 2017PECOS Enrolled

234 E 149TH ST, BRONX, NY 10451(718) 579-5000 Get Directions Write a Review

NPPES record last updated: June 20, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 20, 2023, Jul 6, 2017 (2 updates tracked since 2017).

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About Odeilis Maxiel Dominguez Amadiz Md NPPES

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

ODEILIS MAXIEL DOMINGUEZ AMADIZ MD (NPI 1821519331) is an individual developmental - behavioral pediatrics provider in Bronx, New York, licensed in New Jersey (25MA10860700) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821519331

Entity TypeIndividualFemale

Primary Taxonomy2080P0006X

Provider Legal NameODEILIS MAXIEL DOMINGUEZ AMADIZCredential: MD

Location Address234 E 149TH STBronx, NY 10451-5504

Mailing Address234 E 149th StBronx, NY 10451-5504 · (718) 579-5000

Phone(718) 579-5000

Sole ProprietorNo

Enumeration DateJuly 6, 2017

Last NPPES UpdateJune 20, 20232 updates tracked since enumeration

NPPES CertifiedJune 20, 2023

✔ NPI 1821519331 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Developmental - Behavioral PediatricsAllopathic & Osteopathic Physicians

Taxonomy Code2080P0006X

License✔ Licensed in NJ · 25MA10860700

Definition

A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

234 E 149TH ST, Bronx, NY 10451

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Odeilis Maxiel Dominguez Amadiz Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

DR. PAOLA CARUGNO MD

Pediatrics (Neurodevelopmental Disabilities)

234 E 149TH ST
BRONX, NY 10451

Bronx County (718) 579-5800

ANDREW ALAN BURGER MD

Psychiatry & Neurology (Neurology)

234 E 149TH ST
BRONX, NY 10451

Bronx County (718) 579-6027

GEORGE TRISTER M.D.

Anesthesiology

234 E 149TH ST, LINCOLN HOSP, DEPT OF ANESTHESIA, SUITE2B1
BRONX, NY 10451

Bronx County (718) 579-5717

MICHAEL F BOTHWELL P.A.

Physician Assistant

234 E 149TH ST
BRONX, NY 10451

Bronx County (718) 579-5900

DR. DAVID P AKMAN M.D.

Internal Medicine (Cardiovascular Disease)

234 E 149TH ST, LINCOLN HOSPITAL, DEPT. OF MEDICINE
BRONX, NY 10451

Bronx County (718) 579-5000

DR. AMY HOFFMAN MD

Psychiatry & Neurology (Psychiatry)

234 E 149TH ST, SUITE 8D-200
BRONX, NY 10451

Bronx County (718) 579-4862

SHUYAN ALEX WONG P.T. M.A. DPT

Physical Therapist

234 E 149TH ST
BRONX, NY 10451

Bronx County (718) 579-5651

DR. AUBREY LOWELL FREIBERG D.O.

Radiology (Radiation Oncology)

234 E 149TH ST
BRONX, NY 10451

Bronx County (718) 579-4655

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 Odeilis Dominguez Amadiz's NPI number?

The NPI number for Odeilis Dominguez Amadiz is 1821519331. It was assigned to this individual provider in the NPPES registry on July 6, 2017.

Where is Odeilis Dominguez Amadiz located?

Odeilis Dominguez Amadiz practices at 234 E 149th St, Bronx, NY 10451. The listed phone number is (718) 579-5000.

What is Odeilis Dominguez Amadiz's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Developmental - Behavioral Pediatrics, with taxonomy code 2080P0006X.

Is Odeilis Dominguez Amadiz enrolled in Medicare?

Yes. Odeilis Dominguez Amadiz is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Odeilis Dominguez Amadiz was last updated on June 20, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.