Dr. Jessie Bautista Pita
MD | Pediatrics | Female
Dr. Jessie Bautista Pita, MD is a Staten Island, New York based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Jessie Bautista Pita is
235 Port Richmond Ave, Staten Island, New York - 10302-1701. She can be contacted on phone at
718-876-1732 and fax number 718-876-3459.
Dr. Jessie Bautista Pita is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Jessie Bautista Pita is
1023136413 which was assigned by NPPES on 26 Mar, 2007 and it was last updated on 05 Apr, 2012.
Dr. Jessie Bautista Pita license number is
189860 for Pediatrics (208000000X) in New York.
Dr. Jessie Bautista Pita is a pediatrician who 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.
Complete Profile:
Dr. Jessie Bautista Pita basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Jessie Bautista Pita |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Dr. Jessie Bautista Pita address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 235 Port Richmond Ave
Staten Island, NY, 10302-1701
United States |
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| Phone Number : | 718-876-1732 |
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| Fax Number : | 718-876-3459 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1023136413 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 26 Mar, 2007 |
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| Last Updated On : | 05 Apr, 2012 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Jessie Bautista Pita are as mentioned. Primary taxonomy code for Dr. Jessie Bautista Pita, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 189860 | NY |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Jessie Bautista Pita such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 000155690012 | Other | NY | AFFINITY |
| 01178778 | Other | NY | AMERIGROUP |
| 060630000022 | Other | NY | FIDELIS CARE |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 235 Port Richmond Ave
Staten Island, NY, 10302-1701
United States |
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| Phone Number : | 718-876-1732 |
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| Fax Number : | 718-876-3459 |
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Business Location:
Patients can refer following map for directions to
Dr. Jessie Bautista Pita practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.