Organization Active NPI

Rutledge Pediatrics

  • Primary Care Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1114220126
Registry record updated Dec 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
RUTLEDGE PEDIATRICS
Practice address
167 Rutledge St
Brooklyn, NY 11211-8006
Phone
(718) 624-8510
Fax
(718) 624-8033
NPI assigned
Dec 13, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2010

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

Authorized official

Name
Dr. Steven Jay Goldstein, M.D.
Title
Partner
Phone
(718) 624-8510

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

167 Rutledge St
Brooklyn, NY 11211-8006

Mailing address

167 Rutledge St
Brooklyn, NY 11211-8006
Phone (718) 624-8510

National Provider Directory

National Provider Directory
Tax ID family
Howard J Rosman MDPC Steven J Goldstein MDPC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

167 Rutledge St
Brooklyn, NY 11211
Phone (718) 502-9421

NPI Registry JSON

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

{
    "created_epoch": "1292198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292198400000",
    "number": "1114220126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 RUTLEDGE ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112118006",
            "telephone_number": "718-624-8510",
            "fax_number": "718-624-8033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 RUTLEDGE ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112118006",
            "telephone_number": "718-624-8510",
            "fax_number": "718-624-8033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUTLEDGE PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-13",
        "last_updated": "2010-12-13",
        "status": "A",
        "authorized_official_last_name": "GOLDSTEIN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "718-624-8510",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 13, 2010; 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.