Organization Active NPI

Pediatrics East of Ny PC

  • Pediatrics Physician
  • New York, NY
National Provider Identifier
1306920251
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
PEDIATRICS EAST OF NY PC
Practice address
157 East 81St St
New York, NY 10028-1844
Phone
(212) 879-7014
Fax
(212) 628-8147
NPI assigned
Oct 25, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Julia Kim Yang, MD
Title
Secretary Partner
Phone
(212) 879-7014

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X Primary

Addresses

Primary practice location

157 East 81St St
New York, NY 10028-1844

Mailing address

157 East 81St St
New York, NY 10028-1844
Phone (212) 879-7014

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306920251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 EAST 81ST ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100281844",
            "telephone_number": "212-879-7014",
            "fax_number": "212-628-8147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 EAST 81ST ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100281844",
            "telephone_number": "212-879-7014",
            "fax_number": "212-628-8147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRICS EAST OF NY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YANG",
        "authorized_official_first_name": "JULIA",
        "authorized_official_middle_name": "KIM",
        "authorized_official_title_or_position": "SECRETARY PARTNER",
        "authorized_official_telephone_number": "212-879-7014",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.