Active NPI
Jindrich Kypson, MD,PHD
- Pediatrics Physician
- Brooklyn, NY
National Provider Identifier
1477631604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 117600
- Practice address
- 1425 54TH St
Brooklyn, NY 11219-4228 - Phone
- (718) 438-0666
- NPI assigned
- Nov 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 117600 | NY | Primary |
Addresses
Primary practice location
1425 54TH St
Brooklyn, NY 11219-4228
Mailing address
21 Wooleys LN E
Great Neck, NY 11021-1515
Phone (516) 482-7016
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 117600 | NY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Williamsburg Pediatrics, PC | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- Brooklyn, NY
- NPI 1063983054
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694044800000",
"number": "1477631604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 WOOLEYS LN E",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110211515",
"telephone_number": "516-482-7016",
"fax_number": "516-482-7016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1425 54TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112194228",
"telephone_number": "718-438-0666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KYPSON",
"first_name": "JINDRICH",
"name_prefix": "Dr.",
"credential": "MD,PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-02",
"last_updated": "2023-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "117600",
"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 Sep 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.