Organization Active NPI

Rutledge Pediatrics PLLC

  • Pediatrics Physician
  • Brooklyn, NY
National Provider Identifier
1306291141
Registry record updated Apr 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
144545 Issued in NY
Legal business name
RUTLEDGE PEDIATRICS PLLC
Practice address
167 Rutledge St
Brooklyn, NY 11211-8006
Phone
(718) 624-8510
NPI assigned
Apr 29, 2016
Last updated
Apr 29, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2016

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

Authorized official

Name
Dr. Steven Jay Goldstein, M.D.
Title
Partner
Phone
(718) 624-8510

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 233117 NY
Pediatrics Physician 208000000X 144545 NY Primary

Addresses

Primary practice location

167 Rutledge St
Brooklyn, NY 11211-8006

Mailing address

167 Rutledge St
Brooklyn, NY 11211-8006
Phone (718) 624-8510

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1461888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461888000000",
    "number": "1306291141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 RUTLEDGE ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112118006",
            "telephone_number": "718-624-8510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 RUTLEDGE ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112118006",
            "telephone_number": "718-624-8510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUTLEDGE PEDIATRICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-29",
        "last_updated": "2016-04-29",
        "status": "A",
        "authorized_official_last_name": "GOLDSTEIN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "718-624-8510",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "233117",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "144545",
            "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 Apr 29, 2016; 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.