Pediatric Surgery FPP

Primary specialty

Pediatric Surgery PhysicianTaxonomy code 2086S0120X

Legal business name

PEDIATRIC SURGERY FPP

Practice address

921 49TH St
Brooklyn, NY 11219-2923

Phone

(718) 283-8773

Fax

(718) 283-8796

NPI assigned

Dec 11, 2006

Last updated

Aug 22, 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

Edward Shlasko, MD

Title

Director

Phone

(718) 283-7384

Specialties & licenses 1

Addresses

Locations

Practitioners 6

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.

• Marissa Capogna, FNP

  • Family Nurse Practitioner
  • Brooklyn, NY
  • NPI 1285313171
  NPD (past)
• Kyle Jordan Glithero, M.D.

  • Surgery Physician
  • Brooklyn, NY
  • NPI 1063701498

  Pediatric Surgery

  NPD (past)
• Monique S Jenkins, WNP

  • Family Nurse Practitioner
  • Brooklyn, NY
  • NPI 1396870309
  NPD (past)
• Lynn Model, MD

  • Pediatric Surgery Physician
  • Brooklyn, NY
  • NPI 1598949885
  NPD (past)
• Radhakrishman Satheesan, MD

  • Pediatric Surgery Physician
  • Brooklyn, NY
  • NPI 1023182649
  NPD (past)
• Daniel Hechtman, MD

  • Surgery Physician
  • Hartford, CT
  • NPI 1851365480
  NPD (past)

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1548320534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 49TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112192923",
            "telephone_number": "718-283-8773",
            "fax_number": "718-283-8796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 49TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112192923",
            "telephone_number": "718-283-8773",
            "fax_number": "718-283-8796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC SURGERY FPP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHLASKO",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "718-283-7384",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pediatric Dentistry of Boro Park PLLC
• Pediatric Dentistry of Brooklyn PLLC
• Pediatric Dentistry Under Ga (Sedation Pediatric Dentistry)
• Pediatric Occupational Therapy Services of Brooklyn, P.C.45
• Pediatric Specialty Consultation Services
• Pediatric&Adolescent Medical Care PLLC
• Pediatrics Associates at Lich
• Agnes Lynn Pedicino, RN,IBCLC
• Pedicuria Cosmetic Podiatry Care PLLC
• Pedirite Medical NJ LLC

• Pediatric Surgery Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Pediatric Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.