OrganizationActive
Life Pediatrics PLLC
NPI 1124147186 · Pediatrics Physician · New York, NY
Provider details
- NPI number
- 1124147186
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Peter Vaccaro, President(212) 627-8870
- License
- 150913 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
161 Avenue of the Americas
13 Th Floor
New York, NY 10013-1205
Phone: (212) 627-1222
Street-level locationGet directions
Mailing address
146 W 22nd St
New York, NY 10011-2477
Registry dates
- Enumerated
- 2007-03-28
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.