Organization Active NPI

Little Tweedle LLC

  • Primary Care Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1154020790
Registry record updated Mar 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
LITTLE TWEEDLE LLC
Practice address
199 Skillman St Apt 1L
Brooklyn, NY 11205-4510
Phone
(718) 930-0698
NPI assigned
Mar 2, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2023

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

Authorized official

Name
Yoel Gross
Title
Owner
Phone
(718) 930-0698

Specialties & licenses 1

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

Addresses

Primary practice location

199 Skillman St Apt 1L
Brooklyn, NY 11205-4510

Mailing address

199 Skillman St Apt 1L
Brooklyn, NY 11205-4510
Phone (718) 930-0698

Other identifiers 1

IdentifierTypeStateIssuer
886695736MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1677715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677715200000",
    "number": "1154020790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 SKILLMAN ST APT 1L",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112054510",
            "telephone_number": "718-930-0698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 SKILLMAN ST APT 1L",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112054510",
            "telephone_number": "718-930-0698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE TWEEDLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-02",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-01",
        "status": "A",
        "authorized_official_last_name": "GROSS",
        "authorized_official_first_name": "YOEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-930-0698"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "886695736",
            "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 Mar 2, 2023; 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.