NPIMap

Organization Active NPI

Dynasty Pediatrics PLLC

  • Pediatrics Physician
  • Brooklyn, NY
National Provider Identifier
1285904789
Registry record updated Dec 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
244633 Issued in NY
Legal business name
DYNASTY PEDIATRICS PLLC
Practice address
464 Ocean Pkwy
Brooklyn, NY 11218-5003
Phone
(718) 282-0022
NPI assigned
Dec 31, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2011

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

Authorized official

Name
Dr. Marina Klotsman, DONPI 1164628129
Title
Medical Director
Phone
(718) 282-0022

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 244633 NY Primary

Addresses

Primary practice location

464 Ocean Pkwy
Brooklyn, NY 11218-5003

Mailing address

464 Ocean Pkwy
Brooklyn, NY 11218-5003
Phone (718) 282-0022

National Provider Directory

National Provider Directory

Locations

464 Ocean Pkwy
Brooklyn, NY 11218
Phone (718) 282-0022

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1325289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325289600000",
    "number": "1285904789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "464 OCEAN PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112185003",
            "telephone_number": "718-282-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "464 OCEAN PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112185003",
            "telephone_number": "718-282-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNASTY PEDIATRICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-31",
        "last_updated": "2011-12-31",
        "status": "A",
        "authorized_official_last_name": "KLOTSMAN",
        "authorized_official_first_name": "MARINA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "718-282-0022",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "244633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 31, 2011; 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.