Brooklyn Pediatric Care PLLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

243061 Issued in NY

Legal business name

BROOKLYN PEDIATRIC CARE PLLC

Practice address

2274 Pitkin Ave
Brooklyn, NY 11207-3718

Phone

(718) 277-7477

Fax

(718) 277-2801

NPI assigned

Mar 17, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Herve Jacques, MD

Title

Manager

Phone

(718) 277-7477

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1205712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209686400000",
    "number": "1205007390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14711 240TH ST",
            "city": "ROSEDALE",
            "state": "NY",
            "postal_code": "114222453",
            "telephone_number": "718-277-7477",
            "fax_number": "718-277-2801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2274 PITKIN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112073718",
            "telephone_number": "718-277-7477",
            "fax_number": "718-277-2801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKLYN PEDIATRIC CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-17",
        "last_updated": "2008-05-02",
        "status": "A",
        "authorized_official_last_name": "JACQUES",
        "authorized_official_first_name": "HERVE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "718-277-7477",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "243061",
            "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 May 2, 2008; 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.