Organization Active NPI

Interboro Pediatrics

  • Pediatrics Physician
  • Brooklyn, NY
National Provider Identifier
1316043151
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
171076 Issued in NY
Legal business name
INTERBORO PEDIATRICS
Practice address
2768 Pitkin Ave
Brooklyn, NY 11208-3239
Phone
(718) 235-7100
Fax
(718) 235-7161
NPI assigned
Sep 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Eric Krauss, M.D.NPI 1316152416
Title
President
Phone
(718) 235-7100

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 171076 NY Primary

Addresses

Primary practice location

2768 Pitkin Ave
Brooklyn, NY 11208-3239

Mailing address

2768 Pitkin Ave
Brooklyn, NY 11208-3239
Phone (718) 235-7100

Other identifiers 1

IdentifierTypeStateIssuer
01213230MedicaidNY

National Provider Directory

National Provider Directory

Locations

2768 Pitkin Ave
Brooklyn, NY 11208
Phone (718) 235-7100

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": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1316043151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2768 PITKIN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112083239",
            "telephone_number": "718-235-7100",
            "fax_number": "718-235-7161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2768 PITKIN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112083239",
            "telephone_number": "718-235-7100",
            "fax_number": "718-235-7161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERBORO PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KRAUSS",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-235-7100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "171076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01213230",
            "state": "NY"
        }
    ],
    "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 Jul 21, 2022; 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.