Dove Pediatric Service

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

169649 Issued in NY

Legal business name

DOVE PEDIATRIC SERVICE

Practice address

86 E 49TH St
Suite G
Brooklyn, NY 11203-1901

Phone

(718) 363-6646

NPI assigned

Mar 3, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Rosemary M Jackson, M.D.NPI 1801878921

Title

Ceo

Phone

(718) 363-6646

Specialties & licenses 1

Addresses

Practitioners 2

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.

• Rosemary Maxine Jackson, M.D.

  • Pediatrics Physician
  • Brooklyn, NY
  • NPI 1801878921
  NPD (past) Authorized official
• Elna Tamayo-Prado, M.D.

  • Pediatrics Physician
  • Brooklyn, NY
  • NPI 1023080819
  NPD (past)

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

{
    "created_epoch": "1141344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336116722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20514 115TH AVE",
            "city": "SAINT ALBANS",
            "state": "NY",
            "postal_code": "114122904",
            "telephone_number": "718-276-9433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 E 49TH ST",
            "address_2": "SUITE G",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112031901",
            "telephone_number": "718-363-6646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOVE PEDIATRIC SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "ROSEMARY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "718-363-6646",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "169649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dov Anesthesiology, PLLC
• Dov M. Kolker M.D.,P.C.
• Dov Phil Anesthesiology Group, PLLC
• Dov Seidenfeld DDS PC
• Lyubov Dovbenyuk
• Barbara Dove, PROGRAM DIRECTOR
• Marley Kaya Dove
• Doveheart Home Care LLC
• Malaysia Dover-Faison, LMSW
• Lashawn G Dover

• Pediatrics Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Pediatrics Physician in New York

• 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.