MMC Pediatric Ambulatory Care

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

MMC PEDIATRIC AMBULATORY CARE

Practice address

1301 57TH Street
Brooklyn, NY 11219

Phone

(718) 283-3640

Fax

(718) 283-3602

NPI assigned

Jul 31, 2006

Organization subpart

No

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

Authorized official

Name

Steven Shelov, MD

Title

Chairman, Department of Pediatrics

Phone

(718) 283-7500

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477569879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "977 48TH STREET",
            "address_2": "ATTENTION: KATHLYN ORLANDO",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11219",
            "telephone_number": "718-283-8015",
            "fax_number": "718-635-7235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 57TH STREET",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11219",
            "telephone_number": "718-283-3640",
            "fax_number": "718-283-3602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MMC PEDIATRIC AMBULATORY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHELOV",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "CHAIRMAN, DEPARTMENT OF PEDIATRICS",
        "authorized_official_telephone_number": "718-283-7500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• MMC OB GYN Perinatal Diagnostic Ultrasound
• MMC OB-GYN Faculty Practice Plan
• MMC OB-GYN Faculty Practice Plan
• MMC OB/GYN FPP
• MMC OB/GYN Hospital
• MMC Pediatric Critical Care FPP
• MMC Pediatric Hematology Oncology
• MMC Pediatric Hospital Medicine FPP
• MMC Pediatric Neurology FPP
• MMC Pediatrics Faculty Practice

• 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.