OrganizationActive
Lake Grove Pediatrics, PC
NPI 1447543913 · Pediatrics Physician · Lake Grove, NY
Lake Grove Pediatrics, PC is a Pediatrics Physician organization in Lake Grove, NY (NPI 1447543913).
Provider details
- NPI number
- 1447543913
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Amy Goldberg, Owner63158544400
- License
- 225178 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
2233 Nesconset Hwy
Suite 106
Lake Grove, NY 11755-1000
Phone: (631) 585-4440
Street-level locationGet directions
Mailing address
2233 Nesconset Hwy
Lake Grove, NY 11755-1000
Registry dates
- Enumerated
- 2011-05-17
- Last updated
- 2011-05-17
Frequently asked questions
- What is Lake Grove Pediatrics, PC's NPI number?
- Lake Grove Pediatrics, PC's National Provider Identifier (NPI) is 1447543913, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lake Grove Pediatrics, PC?
- Lake Grove Pediatrics, PC is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Lake Grove Pediatrics, PC located?
- Lake Grove Pediatrics, PC's practice location on file with NPPES is 2233 Nesconset Hwy, Lake Grove, NY 11755-1000.
- What is Lake Grove Pediatrics, PC's phone number?
- The practice phone number listed in the NPPES registry for Lake Grove Pediatrics, PC is (631) 585-4440.
- Who is the authorized official for Lake Grove Pediatrics, PC?
- The authorized official listed on Lake Grove Pediatrics, PC's NPPES record is Amy Goldberg, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lake Grove Pediatrics, PC's NPI active?
- Yes — Lake Grove Pediatrics, PC's NPI (1447543913) is active in the NPPES registry as of the last update on 2011-05-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.