Organization Active NPI

Dorchester Pediatric Associates

  • Specialist
  • Brooklyn, NY
National Provider Identifier
1508959529
Registry record updated Nov 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
100043 Issued in NY
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

Updated by the provider on Nov 4, 2008

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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
00171320MedicaidNY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.