DIVINO NINO PEDIATRICS
NPI 1891929311
Pediatrics - Adolescent Medicine in Bronx, NY

Active since May 12, 2009CLIA 33D2002820 · Microscopy
557 E FORDHAM RD, BRONX, NY 10458(347) 590-0660(347) 590-0663 Get Directions Write a Review

NPPES record last updated: May 12, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Divino Nino Pediatrics NPPES

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

DIVINO NINO PEDIATRICS (NPI 1891929311) is a healthcare organization registered as an adolescent medicine in Bronx, New York and active in the NPI registry since May 2009. The organization holds a CLIA Microscopy certificate valid through January 26, 2028 and lists Denise Nunez, President, as its authorized official.

NPPES Registry Identity

NPI1891929311
Entity TypeOrganization
Primary Taxonomy2080A0000X
Legal Business NameDIVINO NINO PEDIATRICS
Location Address557 E FORDHAM RDBronx, NY 10458-5001
Mailing Address557 E Fordham RdBronx, NY 10458-5001 · (347) 590-0660 · Fax (347) 590-0663
Fax(347) 590-0663
Organization SubpartNo
Authorized OfficialDenise NunezPresident · (347) 590-0660
Enumeration DateMay 12, 2009
Last NPPES UpdateMay 12, 2010
NPI 1891929311 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License Licensed in NY · 248239
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
557 E FORDHAM RD, Bronx, NY 10458

Other Identifiers 1

Medicaid03031041NY

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 for Provider-Performed Microscopy Procedures (PPMP) 33D2002820

Divino Nino Pediatrics · Bronx, NY
Active · expires Jan 26, 2028
CLIA Number33D2002820
Laboratory TypePhysician Office
Certificate Effective DateJanuary 27, 2026
Certificate Expiration DateJanuary 26, 2028
Laboratory DirectorDr. Denise Nunez
Laboratory Phone(347) 590-0660
Laboratory LocationDivino Nino Pediatrics557 East Fordham Road, Bronx, NY 10458
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES

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

Pediatrics
557 E FORDHAM RD
BRONX, NY 10458

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 Divino Nino Pediatrics's NPI number?

The NPI number for Divino Nino Pediatrics is 1891929311. It was assigned to this organization in the NPPES registry on May 12, 2009.

Where is Divino Nino Pediatrics located?

Divino Nino Pediatrics is located at 557 E Fordham Rd, Bronx, NY 10458. The listed phone number is (347) 590-0660.

What is Divino Nino Pediatrics's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Does Divino Nino Pediatrics hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 33D2002820) is associated with this NPI, valid through January 26, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Divino Nino Pediatrics was last updated on May 12, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.