Organization Active NPI

Rakesh K Dua Physician, PC

  • Pediatrics Physician
  • Brooklyn, NY
National Provider Identifier
1528232873
Registry record updated Apr 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
208733 Issued in NY
Legal business name
RAKESH K DUA PHYSICIAN, PC
Practice address
2035 Ralph Ave
Suite B8
Brooklyn, NY 11234-5300
Phone
(718) 968-2534
Fax
(718) 968-0573
NPI assigned
Apr 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2008

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

Authorized official

Name
Mrs. Barbara Martes
Title
Office Manager
Phone
(718) 968-2534

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 208733 NY Primary

Addresses

Primary practice location

2035 Ralph Ave
Suite B8
Brooklyn, NY 11234-5300

Mailing address

6 Meadowbrook LN
Old Westbury, NY 11568-1112
Phone (718) 968-2534

Other identifiers 1

IdentifierTypeStateIssuer
01623014MedicaidNY

National Provider Directory

National Provider Directory

Locations

2035 Ralph Ave
Ste B8
Brooklyn, NY 11234
Phone (718) 968-2534

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": "1208390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208390400000",
    "number": "1528232873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 MEADOWBROOK LN",
            "city": "OLD WESTBURY",
            "state": "NY",
            "postal_code": "115681112",
            "telephone_number": "718-968-2534",
            "fax_number": "718-968-0573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2035 RALPH AVE",
            "address_2": "SUITE B8",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112345300",
            "telephone_number": "718-968-2534",
            "fax_number": "718-968-0573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAKESH K DUA PHYSICIAN, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-17",
        "last_updated": "2008-04-17",
        "status": "A",
        "authorized_official_last_name": "MARTES",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "718-968-2534",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "208733",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01623014",
            "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 Apr 17, 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.