Organization Active NPI

FDLC Pediatrics Medicine.PLLC

  • Pediatric Adolescent Medicine Physician
  • New York, NY
National Provider Identifier
1124297460
Registry record updated Feb 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
136960 Issued in NY
Legal business name
FDLC PEDIATRICS MEDICINE.PLLC
Practice address
629 W 185TH St
New York, NY 10033-3102
Phone
(212) 928-5468
NPI assigned
Feb 20, 2008
Organization subpart
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2008

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

Authorized official

Name
Mrs. Migdalia Negron
Title
Manager
Phone
(212) 928-5468

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080A0000X 136960 NY Primary

Addresses

Primary practice location

629 W 185TH St
New York, NY 10033-3102

Mailing address

258 Brady Ave
Hawthorne, NY 10532-1826
Phone (212) 928-5468

Other names 1

  • Flor De La Cadena Doing business as

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JDFEAA

Practitioners & affiliated clinicians

Practitioners 1

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": "1203465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203465600000",
    "number": "1124297460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "258 BRADY AVE",
            "city": "HAWTHORNE",
            "state": "NY",
            "postal_code": "105321826",
            "telephone_number": "212-928-5468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 W 185TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100333102",
            "telephone_number": "212-928-5468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FDLC PEDIATRICS MEDICINE.PLLC",
        "organizational_subpart": "YES",
        "enumeration_date": "2008-02-20",
        "last_updated": "2008-02-20",
        "status": "A",
        "authorized_official_last_name": "NEGRON",
        "authorized_official_first_name": "MIGDALIA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "212-928-5468",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NY",
            "license": "136960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Flor De La Cadena",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.