Medikids Pediatrics Medicine II PLLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

MEDIKIDS PEDIATRICS MEDICINE II PLLC

Practice address

320 E 188TH St
Bronx, NY 10458-5402

Phone

(718) 220-2804

Fax

(718) 220-5321

NPI assigned

Aug 7, 2007

Organization subpart

No

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

Authorized official

Name

Marcial Jimenez, M.D.

Title

Pediatrician

Phone

(718) 220-2804

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Interoperability endpoints

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

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465776000000",
    "number": "1164613857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 E 188TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104585402",
            "telephone_number": "718-220-2804",
            "fax_number": "718-220-5321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 E 188TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104585402",
            "telephone_number": "718-220-2804",
            "fax_number": "718-220-5321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDIKIDS PEDIATRICS MEDICINE II PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-07",
        "last_updated": "2016-06-13",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "MARCIAL",
        "authorized_official_title_or_position": "PEDIATRICIAN",
        "authorized_official_telephone_number": "718-220-2804",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02218124",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Providers in Bronx, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2016; 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.