DANZI & HAJDUK-BENNETT PEDIATRICS PLLC (NPI# 1922633007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922633007 |
| Entity Type | Organization |
| Organization Name | DANZI & HAJDUK-BENNETT PEDIATRICS PLLC |
| Practice Address |
994 W Jericho Tpke Ste 202 Smithtown NY 11787-3234 |
| Practice Telephone | 6318646440 |
| Practice Fax Number | 6318646445 |
| Mailing Telephone | 6318646440 |
| Mailing Fax Number | 6318646445 |
| Enumeration Date | 2020-03-09 |
| Last Update Date | 2020-03-09 |
| Authorized Official Name | ANN MARGARET HAJDUK (DR) |
| Authorized Official Telephone | 6318646440 |
| Authorized Official Credential | DO |
| Is Organization Subpart | Y |
| Parent Organization Name | DANZI & HAJDUK-BENNETT PEDIATRICS PLLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Commack Pediatric Partners | Doing Business As Name - Organization |
| Street Address |
994 W JERICHO TPKE STE 202 |
| City | SMITHTOWN |
| State | NY |
| Zip Code | 11787-3234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962779 | Gwendolyn Burris | Counselor | 20 Gilbert Avenue, Suite 107-a, Smithtown, NY 11787 | 2020-11-04 |
| 1467051193 | Karin M Caro | Adult Companion | 9 Three Pond Road, Smithtown, NY 11787 | 2020-10-23 |
| 1639706641 | Nimit Khara | Student in an Organized Health Care Education/Training Program | 240 Middle Country Rd A, Smithtown, NY 11787 | 2020-03-27 |
| 1003469032 | Maria Teresa Gardella | Nurse Practitioner | St. Catherine of Siena Medical Center, 50 Ny-25a, Smithtown, NY 11787 | 2019-07-18 |
| 1558922070 | Pamella Ann Grillo | Physician Assistant | 373 Ny-111 #5, Smithtown, NY 11787 | 2019-06-25 |
| 1306308127 | Sherry Hansen | Social Worker | 285 Middle Country Rd, Suite Ll5, Smithtown, NY 11787 | 2019-04-01 |
| 1932663747 | Kayla Roundsman | Counselor | 11 Route 11, Smithtown, NY 11787 | 2019-01-25 |
| 1568959856 | Moreen Johnson | Registered Nurse | Christian Nursing Registry, 17 Bank Ave, Smith Town, NY 11787 | 2018-04-23 |
| 1992217871 | Erica Zeller Licensed Clinical Social Work Pllc | Social Worker | 15 Bellemeade Ave Ste 3, Smithtown, NY 11787 | 2017-10-31 |
| 1881117802 | Oisin Vincent Keenan | Case Manager/Care Coordinator | 11 Ny-111, Smithtown, NY 11787 | 2017-07-21 |
| Find all providers in zip 11787 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922277813 | Keith Breglio | Pediatrics | 260 E Middle Country Rd Ste 107, Smithtown, NY 11787 | 2008-02-25 |
| 1356430862 | Albert Adler | Pediatrics | 1 Teapot Lane, Smithtown, NY 11787 | 2006-10-12 |
| 1134211048 | Robert T Shapiro | Pediatrics | 222 East Main St, Suite 310, Smithtown, NY 11787-2871 | 2006-09-28 |
| 1487649182 | Richard Sosulski | Pediatrics | 269 E Main St, Smithtown, NY 11787-2835 | 2005-09-19 |
| 1740552942 | Branch Pediatrics and Adolescent Group P.C. | Pediatrics | 300 E Main St, Suite 4/5, Smithtown, NY 11787-2900 | 2012-02-02 |
| 1780971515 | Jessica M Cohn | Pediatrics | 260 E Middle Country Rd Ste 107, Smithtown, NY 11787 | 2011-06-30 |
| 1467687756 | Lori J Ellis | Pediatrics | 260 E Middle Country Rd, Suite 107, Smithtown, NY 11787-2982 | 2009-05-15 |
| 1306088067 | Michael Robert Stern | Pediatrics | 300 E Main St, Suite 5, Smithtown, NY 11787-2900 | 2009-03-27 |
| 1548454184 | Munira Mufaddal Husainy | Pediatrics | 260 E Middle Country Rd, Suite 107, Smithtown, NY 11787-2982 | 2007-08-28 |
| 1255531000 | Mary Ann Flynn Gameng | Pediatrics | 300 E Main St, Suite 5, Smithtown, NY 11787-2900 | 2007-07-19 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.