Dr. T's Pediatrics PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

DR. T'S PEDIATRICS PLLC

Practice address

11206 71St Rd
Forest Hills, NY 11375-4643

Phone

(718) 520-8585

NPI assigned

Jul 22, 2010

Last updated

Oct 2, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Arkadiy Takhalov, MDNPI 1396842316

Title

Medical Director

Phone

(718) 520-8585

Specialties & licenses 1

Addresses

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Arkadiy Takhalov, MD

  • Pediatrics Physician
  • Forest Hills, NY
  • NPI 1396842316
  NPD Authorized official
• Kyung Woon Kim

  • Pediatric Nurse Practitioner
  • New York, NY
  • NPI 1851753578
  NPD (past)
• Nonna Rivkin, M.D.

  • Pediatrics Physician
  • Forest Hills, NY
  • NPI 1265621569
  NPD (past)

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

{
    "created_epoch": "1279756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601596800000",
    "number": "1518270214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11206 71ST RD",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11206 71ST RD",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754643",
            "telephone_number": "718-520-8585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. T'S PEDIATRICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-22",
        "last_updated": "2020-10-02",
        "certification_date": "2020-10-02",
        "status": "A",
        "authorized_official_last_name": "TAKHALOV",
        "authorized_official_first_name": "ARKADIY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "718-520-8585",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.