Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lake Grove Pediatrics, PC

Organization Pediatrics Physician · NPI 1447543913

Lake Grove Pediatrics, PC is a Pediatrics Physician in Lake Grove, New York. Licensed in New York. Registered with an NPI since 2011.

Licensed in
NY
In the registry since
2011
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2233 Nesconset Hwy Ste 106
Lake Grove, NY 11755-1000
Phone: (631) 585-4440
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 225178 (NY)

Record details

NPI number1447543913
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amy Goldberg — Owner · 63158544400
NPI enumeratedMay 17, 2011
Last updated in NPPESMay 17, 2011
Mailing address2233 Nesconset Hwy, Suite 106, Lake Grove, NY 11755-1000

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