Organization Active NPI

Comperhensive Child Care Pediatrics P.C.

  • Pediatrics Physician
  • Brooklyn, NY
National Provider Identifier
1376044057
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
274922 Issued in NY
Legal business name
COMPERHENSIVE CHILD CARE PEDIATRICS P.C.
Practice address
458 Bay Ridge Pkwy
Brooklyn, NY 11209-2702
Phone
(718) 833-0741
Fax
(877) 991-6654
NPI assigned
Feb 27, 2018
Last updated
Nov 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Authorized official

Name
Dr. Ahmad K Mahdi, MDNPI 1831432590
Title
Physician/President
Phone
(347) 951-8918

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 Physician 208000000X 274922 NY Primary

Addresses

Primary practice location

458 Bay Ridge Pkwy
Brooklyn, NY 11209-2702

Mailing address

322 88TH St
Brooklyn, NY 11209-5602
Phone (347) 968-5637

Other identifiers 1

IdentifierTypeStateIssuer
03950718MedicaidNY

National Provider Directory

National Provider Directory

Locations

458 Bay Ridge Pkwy
Brooklyn, NY 11209
Phone (718) 238-4158

Practitioners & affiliated clinicians

Practitioners 1

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": "1519689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732060800000",
    "number": "1376044057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 88TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112095602",
            "telephone_number": "347-968-5637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "458 BAY RIDGE PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112092702",
            "telephone_number": "718-833-0741",
            "fax_number": "877-991-6654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPERHENSIVE CHILD CARE PEDIATRICS P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-27",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A",
        "authorized_official_last_name": "MAHDI",
        "authorized_official_first_name": "AHMAD",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PHYSICIAN/PRESIDENT",
        "authorized_official_telephone_number": "347-951-8918",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "274922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03950718",
            "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 Nov 20, 2024; 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.