Individual provider Active NPI

Tiffany Young Higgins, M.D.

  • Pediatrics Physician
  • Brooklyn, NY
National Provider Identifier
1639457484
Registry record updated May 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
280044 Issued in NY
Practice address
1301 57TH St
Maimonides Pediatric Primary Care
Brooklyn, NY 11219-4636
Phone
(718) 283-3662
NPI assigned
Jul 28, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Pediatrics Physician 208000000X 57497 MN
Pediatrics Physician 208000000X 280044 NY Primary

Addresses

Primary practice location

1301 57TH St
Maimonides Pediatric Primary Care
Brooklyn, NY 11219-4636

Mailing address

1301 57TH St
Maimonides Pediatric Primary Care
Brooklyn, NY 11219-4636

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
57497MNMDPediatrics Physician
280044NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maimonides Medical Center Current Accepting new patients
MMC Pediatrics Faculty Practice Pediatrics CurrentSince Feb 20, 2016 Accepting new patients
Maimonides Faculty Practice Plan CurrentSince Aug 5, 2019 Accepting new patients

Locations

4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724

977 48th St
Brooklyn, NY 11219
Phone (718) 283-8894

1301 57th St
Brooklyn, NY 11219
Phone (718) 283-3640

Interoperability endpoints

  • Direct secure messaging: tiffanyyoung@mai.allscriptsdirect.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1311811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464134400000",
    "number": "1639457484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 57TH ST",
            "address_2": "MAIMONIDES PEDIATRIC PRIMARY CARE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112194636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 57TH ST",
            "address_2": "MAIMONIDES PEDIATRIC PRIMARY CARE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112194636",
            "telephone_number": "718-283-3662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG HIGGINS",
        "first_name": "TIFFANY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-28",
        "last_updated": "2016-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MN",
            "license": "57497",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "280044",
            "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 May 25, 2016; 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.