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VILLAGE PEDIATRIC GROUP PLLC
NPI 1861626210
Pediatrics in Tuckahoe, NY

Active since May 13, 2009CLIA 33D1084447 · Waiver
115 MAIN ST, SUITE 301, TUCKAHOE, NY 10707(914) 771-7070(914) 771-7073 Get Directions Write a Review

NPPES record last updated: May 13, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Village Pediatric Group Pllc NPPES

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

VILLAGE PEDIATRIC GROUP PLLC (NPI 1861626210) is a healthcare organization registered as a pediatrics in Tuckahoe, New York and active in the NPI registry since May 2009. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Kaira Rivera, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1861626210
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameVILLAGE PEDIATRIC GROUP PLLC
Location Address115 MAIN ST, SUITE 301Tuckahoe, NY 10707-2911
Mailing Address115 Main St, Suite 301Tuckahoe, NY 10707-2911 · (914) 771-7070 · Fax (914) 771-7073
Phone(914) 771-7070
Fax(914) 771-7073
Organization SubpartYes
Authorized OfficialKaira RiveraBilling Manager · (914) 771-7070
Enumeration DateMay 13, 2009
✔ NPI 1861626210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in NY · 216946✔ Licensed in NY · 225800
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.

115 MAIN ST, Tuckahoe, NY 10707
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Other Names 1

Former Legal Business NameVillage Pediatric Group Pllc

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 MULTIPLE 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 Waiver 33D1084447

Village Pediatric Group · Tuckahoe, NY
Active · expires Mar 26, 2027
CLIA Number33D1084447
Laboratory TypePhysician Office
Certificate Effective DateAugust 9, 2019
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Heather A. Mcgowen
Laboratory Phone(914) 771-7070
Laboratory LocationVillage Pediatric Group115 Main St - Suite 301, Tuckahoe, NY 10707
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 16

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

ADVANCED AUDIOLOGY OF NY PC
Audiologist-Hearing Aid Fitter
115 MAIN ST
TUCKAHOE, NY 10707
Westchester County (914) 395-3277
AXIOM PT & OT PLUS PLLC
Orthotist
115 MAIN ST, SUITE: # 202
TUCKAHOE, NY 10707
Westchester County (914) 961-1010
DR. RANDY LUNENFELD D.D.S.
Dentist
115 MAIN ST, 1B
TUCKAHOE, NY 10707
Westchester County (914) 771-8888
MR. GLEN JOSEPH SANTACROCE OTR/L, CHT
Occupational Therapist
115 MAIN ST, SUITE 202 2ND FLOOR
TUCKAHOE, NY 10707
Westchester County (914) 961-1010
CHRISTINE A ELLIS MS, PT
Physical Therapist
115 MAIN ST, SUITE 202 2ND FLOOR
TUCKAHOE, NY 10707
Westchester County (914) 961-1010
MS. ELLEN CHEUNG PT
Physical Therapist
115 MAIN ST, SUITE 202 2ND FLOOR
TUCKAHOE, NY 10707
Westchester County (914) 961-1010
DR. VITA M DEQUATRO DOCTORATE OF PT
Physical Therapist
115 MAIN ST, SUITE#202 2ND FLOOR
TUCKAHOE, NY 10707
Westchester County (914) 961-1010
DR. JASEN ALBERT RUIZ SC.D.
Audiologist-Hearing Aid Fitter
115 MAIN ST, SUITE A
TUCKAHOE, NY 10707
Westchester County (914) 395-3277

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 Village Pediatric Group PLLC's NPI number?

The NPI number for Village Pediatric Group PLLC is 1861626210. It was assigned to this organization in the NPPES registry on May 13, 2009.

Where is Village Pediatric Group PLLC located?

Village Pediatric Group PLLC is located at 115 Main St Suite 301, Tuckahoe, NY 10707. The listed phone number is (914) 771-7070.

What is Village Pediatric Group PLLC's specialty?

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

Does Village Pediatric Group PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D1084447) is associated with this NPI, valid through March 26, 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 Village Pediatric Group PLLC was last updated on May 13, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.