NPIMap

Organization Active NPI

Williamsburg Pediatrics, PC

  • Pediatrics Physician
  • Brooklyn, NY
National Provider Identifier
1063983054
Registry record updated Oct 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
WILLIAMSBURG PEDIATRICS, PC
Practice address
200 Wallabout St Ste 1C
Brooklyn, NY 11206-5561
Phone
(718) 486-9800
NPI assigned
Dec 17, 2018
Last updated
Oct 26, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Yechiel Zagelbaum, MDNPI 1558452730
Title
Owner
Phone
(718) 486-9800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X NU Primary

Addresses

Primary practice location

200 Wallabout St Ste 1C
Brooklyn, NY 11206-5561

Mailing address

200 Wallabout St Ste 1C
Brooklyn, NY 11206-5561

Other practice location 1

1425 54th St
Brooklyn, NY 11219-4228
Phone (718) 438-0666

Other names 1

  • Williamsburg Pediatrics, PC Other name

National Provider Directory

National Provider Directory

Locations

1425 54th St
Brooklyn, NY 11219
Phone (718) 438-0666

200 Wallabout St
Ste 1C
Brooklyn, NY 11206
Phone (718) 301-8825

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666742400000",
    "number": "1063983054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 WALLABOUT ST STE 1C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112065561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 WALLABOUT ST STE 1C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112065561",
            "telephone_number": "718-486-9800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1425 54th St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112194228",
            "country_code": "US",
            "telephone_number": "718-438-0666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WILLIAMSBURG PEDIATRICS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-17",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A",
        "authorized_official_last_name": "ZAGELBAUM",
        "authorized_official_first_name": "YECHIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-486-9800",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Williamsburg Pediatrics, PC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.