Active NPI
Dorchester Pediatric Associates
- Specialist
- Brooklyn, NY
National Provider Identifier
1508959529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 100043
- Legal business name
- DORCHESTER PEDIATRIC ASSOCIATES
- Practice address
- 871 Ocean Avenue
Brooklyn, NY 11226 - Phone
- (718) 282-2900
- Fax
- (718) 287-4378
- NPI assigned
- Oct 2, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. T. Stanley Richards, M.D.
- Title
- Partner
- Phone
- (718) 282-2900
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 100043 | NY | Primary |
Addresses
Primary practice location
871 Ocean Avenue
Brooklyn, NY 11226
Mailing address
871 Ocean Avenue
Brooklyn, NY 11226
Phone (718) 282-2900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00171320 | Medicaid | NY |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- Brooklyn, NY
- NPI 1316247687
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1225756800000",
"number": "1508959529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "871 OCEAN AVENUE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11226",
"telephone_number": "718-282-2900",
"fax_number": "718-287-4378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "871 OCEAN AVENUE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11226",
"telephone_number": "718-282-2900",
"fax_number": "718-287-4378"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DORCHESTER PEDIATRIC ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-02",
"last_updated": "2008-11-04",
"status": "A",
"authorized_official_last_name": "RICHARDS",
"authorized_official_first_name": "T. STANLEY",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "718-282-2900",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "NY",
"license": "100043",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00171320",
"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 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.