Organization · Type 2 NPI

Ila Sukhadia, Medical, P.c.

Medical Specialty Clinic/Center · Staten Island, NY

NPI number 1942461967 Active

Practice location

1235 Arden Ave
Staten Island, NY 10312-4148

Fax (718) 966-2560

Specialties and licenses

Taxonomy	Code	License
Medical Specialty Clinic/Center Primary	261QM2500X	249019 (NY)

Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

2 other providers at this address

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NPI record

NPI: 1942461967
Entity type: Organization (Type 2)
Issued: Jun 23, 2008
Last updated: Aug 6, 2019
Status: Active

Other names

<unavail>
Progressive Pediatrics · doing business as
Jitendra Sukhadia, M.d.p.c. dba Progressive Pediatrics · former legal business name

Authorized official

Dr. Ila Jitendra Sukhadia, MD
President
(718) 948-3400

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1942461967

Ila Sukhadia, Medical, P.c.'s National Provider Identifier is 1942461967, issued on Jun 23, 2008. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Staten Island, NY. The record was last updated on Aug 6, 2019.