Organization Active NPI

Richmond Endocrinology Diabetes PC

  • Endocrinology, Diabetes & Metabolism Physician
  • Brooklyn, NY
National Provider Identifier
1265572887
Registry record updated Mar 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
205788 Issued in NY
Legal business name
RICHMOND ENDOCRINOLOGY DIABETES PC
Doing business as
Miroslawa Kudej M.D.
Practice address
934 Manhattan Ave
Brooklyn, NY 11222-5915
Phone
(718) 389-8585
NPI assigned
Feb 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2010

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

Authorized official

Name
Dr. Miroslawa Kudej, M.D.
Title
President
Phone
(917) 538-6908

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X 205788 NY Primary

Addresses

Primary practice location

934 Manhattan Ave
Brooklyn, NY 11222-5915

Mailing address

7 Douglas Rd
Staten Island, NY 10304-1504
Phone (917) 538-6908

Other identifiers 1

IdentifierTypeStateIssuer
01737659MedicaidNY

Other names 1

  • Miroslawa Kudej M.D. Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268006400000",
    "number": "1265572887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 DOUGLAS RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103041504",
            "telephone_number": "917-538-6908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "934 MANHATTAN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112225915",
            "telephone_number": "718-389-8585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHMOND ENDOCRINOLOGY DIABETES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2010-03-08",
        "status": "A",
        "authorized_official_last_name": "KUDEJ",
        "authorized_official_first_name": "MIROSLAWA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-538-6908",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NY",
            "license": "205788",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01737659",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Miroslawa Kudej M.D.",
            "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 8, 2010; 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.