OrganizationActive
Extraordinary Pediatrics, PC
NPI 1487817250 · Developmental - Behavioral Pediatrics Physician · New Hyde Park, NY
Provider details
- NPI number
- 1487817250
- Entity type
- Organization
- Primary specialty
- Developmental - Behavioral Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Beata Jalowski, Revenue Cycle Manager(718) 819-2830
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Behavior Analyst103K00000X
Behavioral Health & Social Service Providers
- Behavior Technician106S00000X
Behavioral Health & Social Service Providers
- Pediatrics Physician208000000X
Allopathic & Osteopathic Physicians
- Pathology Specialist/Technologist246Q00000X
Technologists, Technicians & Other Technical Service Providers
- Home Health Agency251E00000X
Agencies
Practice location
5 Dakota Dr Ste 200
New Hyde Park, NY 11042-1109
Phone: (516) 621-2681
Fax: (516) 621-2403
Approximate (ZIP-level) locationGet directions
Mailing address
5 Dakota Dr Ste 200
New Hyde Park, NY 11042-1109
Registry dates
- Enumerated
- 2008-07-02
- Last updated
- 2023-06-27
- Certified
- 2023-06-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.