NPIMap

Organization Active NPI

Peng'S Medical, P.C.

  • Pediatrics Physician
  • Brooklyn, NY
National Provider Identifier
1124279013
Registry record updated Oct 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
233523 Issued in NY
Legal business name
PENG'S MEDICAL, P.C.
Practice address
863 50TH St
M6
Brooklyn, NY 11220-2417
Phone
(347) 240-8482
Fax
(347) 295-1259
NPI assigned
Oct 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2008

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

Authorized official

Name
Dr. Jinpeng Peng, MDNPI 1518952654
Title
President
Phone
(347) 240-8482

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 233523 NY Primary

Addresses

Primary practice location

863 50TH St
M6
Brooklyn, NY 11220-2417

Mailing address

863 50TH St
M6
Brooklyn, NY 11220-2417
Phone (347) 240-8482

Other identifiers 1

IdentifierTypeStateIssuer
02610240MedicaidNY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1223510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223510400000",
    "number": "1124279013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "863 50TH ST",
            "address_2": "M6",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112202417",
            "telephone_number": "347-240-8482",
            "fax_number": "347-295-1259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "863 50TH ST",
            "address_2": "M6",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112202417",
            "telephone_number": "347-240-8482",
            "fax_number": "347-295-1259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENG'S MEDICAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-09",
        "last_updated": "2008-10-09",
        "status": "A",
        "authorized_official_last_name": "PENG",
        "authorized_official_first_name": "JINPENG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-240-8482",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "233523",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02610240",
            "state": "NY"
        }
    ],
    "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 Oct 9, 2008; 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.