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LONG ISLAND PEDIATRICS OF BRENTWOOD,P.C.
NPI 1912226689
Pediatrics in Brentwood, NY

Active since May 20, 2010CLIA 33D2111459 · Waiver
55 SECOND AVENUE, SUITE 9, BRENTWOOD, NY 11717(631) 813-2610(631) 813-2613 Get Directions Write a Review

NPPES record last updated: July 9, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 9, 2019, Jul 1, 2019 (2 updates tracked since 2019).

About Long Island Pediatrics Of Brentwood,p.c. NPPES

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

LONG ISLAND PEDIATRICS OF BRENTWOOD,P.C. (NPI 1912226689) is a healthcare organization registered as a pediatrics in Brentwood, New York and active in the NPI registry since May 2010. The organization holds a CLIA Waiver certificate valid through May 5, 2027 and lists Alaaeldin F Moawad, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1912226689
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameLONG ISLAND PEDIATRICS OF BRENTWOOD,P.C.
Location Address55 SECOND AVENUE, SUITE 9Brentwood, NY 11717
Mailing Address55 Second Avenue, Suite 9Brentwood, NY 11717 · (631) 813-2610
Phone(631) 813-2610
Fax(631) 813-2613
Organization SubpartNo
Authorized OfficialAlaaeldin F MoawadMedical Director · (631) 813-2610
Enumeration DateMay 20, 2010
Last NPPES UpdateJuly 9, 20192 updates tracked since enumeration
✔ NPI 1912226689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
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.
55 SECOND AVENUE, Brentwood, NY 11717
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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

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 33D2111459

Long Island Pediatrics Of Brentwood PC · Brentwood, NY
Active · expires May 5, 2027
CLIA Number33D2111459
Laboratory TypePhysician Office
Certificate Effective DateMay 6, 2025
Certificate Expiration DateMay 5, 2027
Laboratory DirectorDr. Ramon E. Ferrand
Laboratory Phone(631) 813-2610
Laboratory LocationLong Island Pediatrics Of Brentwood PC55 Second Avenue - Suite #9, Brentwood, NY 11717
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 2

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

ILUMINADO NIRZA JR. PT
Physical Therapist
55 SECOND AVENUE
BRENTWOOD, NY 11717
Suffolk County (631) 617-5733
CENTRAL SUFFOLK SPINE & SPORTS CHIROPRACTIC
Chiropractor
55 SECOND AVENUE, SUITE 1
BRENTWOOD, NY 11717
Suffolk County (631) 617-5733

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 Long Island Pediatrics Of Brentwood,p.C.'s NPI number?

The NPI number for Long Island Pediatrics Of Brentwood,p.C. is 1912226689. It was assigned to this organization in the NPPES registry on May 20, 2010.

Where is Long Island Pediatrics Of Brentwood,p.C. located?

Long Island Pediatrics Of Brentwood,p.C. is located at 55 Second Avenue Suite 9, Brentwood, NY 11717. The listed phone number is (631) 813-2610.

What is Long Island Pediatrics Of Brentwood,p.C.'s specialty?

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

Does Long Island Pediatrics Of Brentwood,p.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2111459) is associated with this NPI, valid through May 5, 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 Long Island Pediatrics Of Brentwood,p.C. was last updated on July 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.