Gotham Pediatrics, PC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

GOTHAM PEDIATRICS, PC

Practice address

59 W 12TH St
Suite 1C
New York, NY 10011-8563

Phone

(212) 255-7733

Fax

(212) 255-7855

NPI assigned

Apr 17, 2007

Last updated

Nov 1, 2007By 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

Dr. Flavio Gonzalez Jr., MD

Title

Partner

Phone

(212) 255-7733

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193875200000",
    "number": "1629294822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 W 12TH ST",
            "address_2": "SUITE 1C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100118563",
            "telephone_number": "212-255-7733",
            "fax_number": "212-255-7855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 W 12TH ST",
            "address_2": "SUITE 1C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100118563",
            "telephone_number": "212-255-7733",
            "fax_number": "212-255-7855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOTHAM PEDIATRICS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2007-11-01",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "FLAVIO",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "212-255-7733",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gotham Gastroenterology, PLLC (Digestive Disease Laboratory)
• Gotham Integrative Acupuncture and Wellness PLLC
• Gotham Lasik Vision
• Gotham Medical Associates, PLLC
• Gotham Medical Group LLP
• Gotham Per Diem, Inc
• Gotham Per Diem, Inc
• Gotham Pharmacy Inc
• Gotham Physical Therapy Group PLLC
• Gotham Physical Therapy, PC

• Pediatrics Physician in New York, NY
• Providers in New York, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.