Organization Active NPI

Dr. Meng Pediatric PC

  • Primary Care Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1134492903
Registry record updated Sep 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
250354 Issued in NY
Legal business name
DR. MENG PEDIATRIC PC
Practice address
5521 8TH Ave Unit 4a
Brooklyn, NY 11220-3515
Phone
(646) 836-3354
Fax
(718) 436-5929
NPI assigned
Feb 9, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2023

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

Authorized official

Name
Dr. Gang Meng, M.D.NPI 1346486594
Title
President
Phone
(646) 683-0005

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
Primary Care Clinic/Center 261QP2300X 250354 NY Primary

Addresses

Primary practice location

5521 8TH Ave Unit 4a
Brooklyn, NY 11220-3515

Mailing address

5521 8TH Ave Unit 4a
Brooklyn, NY 11220-3515

Other identifiers 1

IdentifierTypeStateIssuer
03075418MedicaidNY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2058966Dr Meng Pediatric PC5521 8TH Avenue, Unit 4a, Brooklyn, NY 11220Certificate of waiverMay 14, 2027

National Provider Directory

National Provider Directory

Locations

5521 8th Ave
Unit 4A
Brooklyn, NY 11220
Phone (347) 663-1255

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": "1328745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694736000000",
    "number": "1134492903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5521 8TH AVE UNIT 4A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5521 8TH AVE UNIT 4A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203515",
            "telephone_number": "646-836-3354",
            "fax_number": "718-436-5929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MENG PEDIATRIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-09",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A",
        "authorized_official_last_name": "MENG",
        "authorized_official_first_name": "GANG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-683-0005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "250354",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03075418",
            "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 Sep 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.