NPIMap

Organization Active NPI

Pedia-Care Physicians, PLLC

  • Pediatrics Physician
  • Brooklyn, NY
National Provider Identifier
1154759967
Registry record updated Oct 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
149046 Issued in NY
Legal business name
PEDIA-CARE PHYSICIANS, PLLC
Practice address
1636 E 14TH St
Suite 108
Brooklyn, NY 11229-1190
Phone
(718) 376-6425
Fax
(718) 376-6427
NPI assigned
Oct 15, 2013
Last updated
Oct 15, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2013

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

Authorized official

Name
Dr. Edward J Gindi, M.D.NPI 1013012772
Title
Owner
Phone
(718) 376-6425

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 149046 NY
Pediatrics Physician 208000000X 149046 NY Primary

Addresses

Primary practice location

1636 E 14TH St
Suite 108
Brooklyn, NY 11229-1190

Mailing address

1636 E 14TH St
Suite 108
Brooklyn, NY 11229-1190
Phone (718) 376-6425

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1381795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381795200000",
    "number": "1154759967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1636 E 14TH ST",
            "address_2": "SUITE 108",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291190",
            "telephone_number": "718-376-6425",
            "fax_number": "718-376-6427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1636 E 14TH ST",
            "address_2": "SUITE 108",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291190",
            "telephone_number": "718-376-6425",
            "fax_number": "718-376-6427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIA-CARE PHYSICIANS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-15",
        "last_updated": "2013-10-15",
        "status": "A",
        "authorized_official_last_name": "GINDI",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-376-6425",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NY",
            "license": "149046",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "149046",
            "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 Oct 15, 2013; 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.