Organization Active NPI

Modern Pediatrics of Great New York, PC

  • Pediatrics Physician
  • Brooklyn, NY
National Provider Identifier
1558412668
Registry record updated Oct 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
MODERN PEDIATRICS OF GREAT NEW YORK, PC
Practice address
194 Ocean Pkwy
First Floor
Brooklyn, NY 11218-2408
Phone
(718) 853-8249
NPI assigned
Jan 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2007

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

Authorized official

Name
Harry Victor BondNPI 1902898976
Title
President
Phone
(718) 853-8249

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

194 Ocean Pkwy
First Floor
Brooklyn, NY 11218-2408

Mailing address

194 Ocean Pkwy
First Floor
Brooklyn, NY 11218-2408
Phone (718) 853-8249

National Provider Directory

National Provider Directory

Locations

194 Ocean Pkwy
#1
Brooklyn, NY 11218
Phone (718) 853-8249

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": "1168819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193702400000",
    "number": "1558412668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "194 OCEAN PKWY",
            "address_2": "FIRST FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112182408",
            "telephone_number": "718-853-8249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "194 OCEAN PKWY",
            "address_2": "FIRST FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112182408",
            "telephone_number": "718-853-8249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN PEDIATRICS OF GREAT NEW YORK, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-15",
        "last_updated": "2007-10-30",
        "status": "A",
        "authorized_official_last_name": "BOND",
        "authorized_official_first_name": "HARRY",
        "authorized_official_middle_name": "VICTOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-853-8249"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 30, 2007; 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.