NPIMap

Organization Active NPI

Sunshine Pediatric, P.C.

  • Pediatric Adolescent Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1316367808
Registry record updated Apr 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
Legal business name
SUNSHINE PEDIATRIC, P.C.
Practice address
1761 E 12TH St
Brooklyn, NY 11229-1013
Phone
(718) 336-1111
Fax
(718) 336-7576
NPI assigned
Apr 23, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2014

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

Authorized official

Name
Dr. Ilya Vayner, M.D.
Title
Doctor
Phone
(718) 336-1111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080A0000X Primary

Addresses

Primary practice location

1761 E 12TH St
Brooklyn, NY 11229-1013

Mailing address

1761 E 12TH St
Brooklyn, NY 11229-1013
Phone (718) 336-1111

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.

NPI Registry JSON

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

{
    "created_epoch": "1398211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398211200000",
    "number": "1316367808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1761 E 12TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291013",
            "telephone_number": "718-336-1111",
            "fax_number": "718-336-7576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1761 E 12TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291013",
            "telephone_number": "718-336-1111",
            "fax_number": "718-336-7576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSHINE PEDIATRIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-23",
        "last_updated": "2014-04-23",
        "status": "A",
        "authorized_official_last_name": "VAYNER",
        "authorized_official_first_name": "ILYA",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "718-336-1111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": null,
            "license": null,
            "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 23, 2014; 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.