Southern Tier Pediatrics Practice, P.C.
NPI 1710902200 · Pediatric Adolescent Medicine Physician · Jamestown, NY
Southern Tier Pediatrics Practice, P.C. is a Pediatric Adolescent Medicine Physician organization in Jamestown, NY (NPI 1710902200).
Provider details
- NPI number
- 1710902200
- Entity type
- Organization
- Primary specialty
- Pediatric Adolescent Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Tariq Khan, President(716) 661-9730
- License
- 207469 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
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
Mailing address
Registry dates
- Enumerated
- 2006-07-13
- Last updated
- 2013-05-15
Frequently asked questions
- What is Southern Tier Pediatrics Practice, P.C.'s NPI number?
- Southern Tier Pediatrics Practice, P.C.'s National Provider Identifier (NPI) is 1710902200, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southern Tier Pediatrics Practice, P.C.?
- Southern Tier Pediatrics Practice, P.C. is classified in the NPPES registry as Pediatric Adolescent Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Southern Tier Pediatrics Practice, P.C. located?
- Southern Tier Pediatrics Practice, P.C.'s practice location on file with NPPES is 1684 Foote Avenue Ext, Jamestown, NY 14701-9385.
- What is Southern Tier Pediatrics Practice, P.C.'s phone number?
- The practice phone number listed in the NPPES registry for Southern Tier Pediatrics Practice, P.C. is (716) 661-9730.
- Who is the authorized official for Southern Tier Pediatrics Practice, P.C.?
- The authorized official listed on Southern Tier Pediatrics Practice, P.C.'s NPPES record is Tariq Khan, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southern Tier Pediatrics Practice, P.C.'s NPI active?
- Yes — Southern Tier Pediatrics Practice, P.C.'s NPI (1710902200) is active in the NPPES registry as of the last update on 2013-05-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.