MEDICARE: ORANGETOWN PEDIATRIC ASSOCIATES, P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	101931	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1467572651
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ORANGETOWN PEDIATRIC ASSOCIATES, P.C.

Provider Business Mailing Address
First Line	:	422 WESTERN HWY
Second Line	:
City	:	TAPPAN
State	:	NY
Zip	:	10983-1311
Country	:	US
Telephone Number	:	845-359-0010
Fax Number	:	845-359-3414

Provider Business Practice Location Address
First Line	:	422 WESTERN HWY
Second Line	:
City	:	TAPPAN
State	:	NY
Zip	:	10983-1311
Country	:	US
Telephone Number	:	845-359-0010
Fax Number	:	845-359-3414

Authorized Official
Title or Position	:	OWNER
Name	:	DR. PHILIP NEWFIELD
Credential	:	M.D.
Telephone Number	:	845-359-0010

Provider Enumeration Date	:	03/30/2007
Last Update Date	:	08/22/2020

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Directions to “ORANGETOWN PEDIATRIC ASSOCIATES, P.C. ” Practice Location

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