Organization Active NPI

Millennium Pediatrics PC

Doing business as Millennium Pediatrics

  • Pediatric Adolescent Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1164922936
Registry record updated Mar 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
Legal business name
MILLENNIUM PEDIATRICS PC
Doing business as
Millennium Pediatrics
Practice address
5322 Avenue N
Brooklyn, NY 11234-3910
Phone
(718) 241-1488
NPI assigned
Feb 17, 2018
Last updated
Mar 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2025

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

Authorized official

Name
Ardilyn Buesa
Title
Executive Assistant to RCM Dorector
Phone
(212) 257-2424

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine Physician 2080A0000X NU Primary

Addresses

Primary practice location

5322 Avenue N
Brooklyn, NY 11234-3910

Mailing address

5322 Avenue N
Brooklyn, NY 11234-3910
Phone (718) 241-1488

Other names 1

  • Millennium Pediatrics Doing business as

National Provider Directory

National Provider Directory

Locations

5322 Avenue N
Brooklyn, NY 11234
Phone (718) 241-1488

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": "1518825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741305600000",
    "number": "1164922936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5322 AVENUE N",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112343910",
            "telephone_number": "718-241-1488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5322 AVENUE N",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112343910",
            "telephone_number": "718-241-1488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLENNIUM PEDIATRICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-17",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A",
        "authorized_official_last_name": "BUESA",
        "authorized_official_first_name": "ARDILYN",
        "authorized_official_title_or_position": "EXECUTIVE ASSISTANT TO RCM DORECTOR",
        "authorized_official_telephone_number": "212-257-2424"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Millennium Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Millennium Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 7, 2025; 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.