Woodhll Medical Group

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

179427 Issued in NY

Legal business name

WOODHLL MEDICAL GROUP

Practice address

760 Broadway
Brooklyn, NY 11206-5317

Phone

(718) 963-7956

NPI assigned

Oct 23, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Evelyn Opoku, M.D.

Title

Director of Pediatrics

Phone

(718) 963-7956

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert Peter Devita, M.D.

  • Pediatrics Physician
  • Brooklyn, NY
  • NPI 1902957624
  NPD (past)

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073696381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 E 77TH ST",
            "address_2": "APT # 12K",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100211908",
            "telephone_number": "212-988-3859",
            "fax_number": "212-988-3859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 BROADWAY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112065317",
            "telephone_number": "718-963-7956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODHLL MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OPOKU",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_title_or_position": "DIRECTOR OF PEDIATRICS",
        "authorized_official_telephone_number": "718-963-7956",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NY",
            "license": "179427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmin Woodbine, NP
• Woodbury Medical Care PC
• Roger Wooden, MD
• Brenda Woodford
• Anjoulie Fatema Woodhead, MSW
• Woodhul Medical and Mental Health Center
• Woodhull
• Woodhull Hospital
• Woodhull Hospital
• Woodhull Hospital

• Pediatric Adolescent Medicine Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Pediatric Adolescent Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.