L.Darevskaya Pediatric Center

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

208922 Issued in NY

Legal business name

L.DAREVSKAYA PEDIATRIC CENTER

Practice address

7819 19TH Ave
Brooklyn, NY 11214-1203

Phone

(718) 236-7550

NPI assigned

Mar 27, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Lilya Darevskaya, D.O.NPI 1689688012

Title

Doctor

Phone

(718) 236-7550

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lilya Darevskaya, D.O.

  • Pediatrics Physician
  • Brooklyn, NY
  • NPI 1689688012
  NPD (past) Authorized official

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184742835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7819 19TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112141203",
            "telephone_number": "718-236-7550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7819 19TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112141203",
            "telephone_number": "718-236-7550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L.DAREVSKAYA PEDIATRIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAREVSKAYA",
        "authorized_official_first_name": "LILYA",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "718-236-7550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "208922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatrics Physician in Brooklyn, NY
• Providers in Brooklyn, 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 Aug 22, 2020; 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.