Organization Active NPI

Pediatric Care of Newyork PC

  • Pediatrics Physician
  • Brooklyn, NY
National Provider Identifier
1497222137
Registry record updated Oct 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
PEDIATRIC CARE OF NEWYORK PC
Practice address
6805 5TH Avenue
Brooklyn, NY 11220-6009
Phone
(718) 833-7466
Fax
(718) 833-7465
NPI assigned
Oct 31, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2018

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

Authorized official

Name
Mr. Faiz Orabi Alzoobaee, MD
Title
President
Phone
(718) 833-7466

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

6805 5TH Avenue
Brooklyn, NY 11220-6009

Mailing address

6805 5TH Avenue
Brooklyn, NY 11220-6009
Phone (718) 833-7466

Other identifiers 1

IdentifierTypeStateIssuer
2202220MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Pediatric Care of New York PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1540944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540944000000",
    "number": "1497222137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6805 5TH AVENUE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112206009",
            "telephone_number": "718-833-7466",
            "fax_number": "718-833-7465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6805 5TH AVENUE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112206009",
            "telephone_number": "718-833-7466",
            "fax_number": "718-833-7465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC CARE OF NEWYORK PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-31",
        "last_updated": "2018-10-31",
        "status": "A",
        "authorized_official_last_name": "ALZOOBAEE",
        "authorized_official_first_name": "FAIZ",
        "authorized_official_middle_name": "ORABI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-833-7466",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2202220",
            "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 Oct 31, 2018; 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.