MMC Pediatrics Faculty Practice

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

MMC PEDIATRICS FACULTY PRACTICE

Practice address

6010 Bay Pkwy Ste 902
Brooklyn, NY 11204-6091

Phone

(718) 283-7500

Fax

(718) 748-4203

NPI assigned

Jul 28, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey Avner, MDNPI 1376629642

Title

Department, Chair of Pediatrics

Phone

(718) 283-6150

Specialties & licenses 11

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 172

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

• Jeffrey R Avner, MD

  • Pediatrics Physician
  • Bronx, NY
  • NPI 1376629642
  Medicare reassignment NPD Authorized official
• Melanie Nicole Droz, FNP-BC

  • Family Nurse Practitioner
  • Brooklyn, NY
  • NPI 1851042493
  Medicare reassignment Care Compare group NPD
• Michael G Marcus, MD

  • Pediatric Allergy/Immunology Physician
  • Brooklyn, NY
  • NPI 1134114192
  Medicare reassignment Care Compare group NPD
• Simona Mattarelliano, NP

  • Pediatric Nurse Practitioner
  • Brooklyn, NY
  • NPI 1679915326
  Medicare reassignment Care Compare group NPD
• Cynthia Romold Amirtharaj, MD

  • Pediatric Cardiology Physician
  • New York, NY
  • NPI 1275791337

  Pediatrics

  Medicare reassignment NPD
• Minimol Antony

  • Pediatrics Physician
  • Brooklyn, NY
  • NPI 1417499310
  Medicare reassignment NPD
• Rena Bakhshiyeva, FNP-BC

  • Family Nurse Practitioner
  • Brooklyn, NY
  • NPI 1689268807
  Medicare reassignment NPD
• Shilpa Bansal, M.D.

  • Pediatrics Physician
  • Brooklyn, NY
  • NPI 1790197481
  Medicare reassignment NPD
• Shonna Berlin, FNP

  • Family Nurse Practitioner
  • Brooklyn, NY
  • NPI 1861789935
  Medicare reassignment NPD
• Maria Bhatti, M.D.

  • Pediatric Hematology & Oncology Physician
  • Cheektowaga, NY
  • NPI 1093031783

  Pediatric Hematology-Oncology

  Medicare reassignment NPD
• Alok Bhutada

  • Neonatal-Perinatal Medicine Physician
  • Brooklyn, NY
  • NPI 1942201157
  Medicare reassignment NPD
• Alex Bialik, MD

  • Pediatrics Physician
  • Brooklyn, NY
  • NPI 1407146673
  Medicare reassignment NPD

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780963200000",
    "number": "1285648154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "977 48TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112192919",
            "telephone_number": "718-283-8015",
            "fax_number": "718-635-7235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6010 BAY PKWY STE 902",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112046091",
            "telephone_number": "718-283-7500",
            "fax_number": "718-748-4203"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4802 10th Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112192916",
            "country_code": "US",
            "telephone_number": "718-283-6000",
            "fax_number": "718-283-6268",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MMC PEDIATRICS FACULTY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A",
        "authorized_official_last_name": "AVNER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "DEPARTMENT, CHAIR OF PEDIATRICS",
        "authorized_official_telephone_number": "718-283-6150",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207NP0225X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, Pediatric Dermatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0201X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Allergy/Immunology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0206X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0207X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0208X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Infectious Diseases",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0210X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Nephrology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0214X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Pulmonology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0216X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Rheumatology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02064473",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• MMC Pediatric Ambulatory Care
• MMC Pediatric Critical Care FPP
• MMC Pediatric Hematology Oncology
• MMC Pediatric Hospital Medicine FPP
• MMC Pediatric Neurology FPP
• MMC Pedram Bral FPP
• MMC Pharmacy Inc
• MMC Plastic Surgery FPP
• MMC Primary Care, FPP
• MMC Reproductive Endocrinology

• 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 Jun 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.