Organization Active NPI

Divine Love Medical Services PC

  • Pediatrics Physician
  • Brooklyn, NY
National Provider Identifier
1659678142
Registry record updated May 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
243076 Issued in NY
Legal business name
DIVINE LOVE MEDICAL SERVICES PC
Practice address
9502 Foster Ave
Brooklyn, NY 11236-2016
Phone
(347) 425-1849
Fax
(347) 240-1505
NPI assigned
Feb 17, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2011

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

Authorized official

Name
Amaka Christine Uzoigwe, MD
Title
Pediatrician
Phone
(347) 425-1849

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 243076 NY Primary

Addresses

Primary practice location

9502 Foster Ave
Brooklyn, NY 11236-2016

Mailing address

9502 Foster Ave
Brooklyn, NY 11236-2016
Phone (347) 425-1849

Other identifiers 1

IdentifierTypeStateIssuer
033042094MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1297900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305849600000",
    "number": "1659678142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9502 FOSTER AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112362016",
            "telephone_number": "347-425-1849",
            "fax_number": "347-240-1505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9502 FOSTER AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112362016",
            "telephone_number": "347-425-1849",
            "fax_number": "347-240-1505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE LOVE MEDICAL SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-17",
        "last_updated": "2011-05-20",
        "status": "A",
        "authorized_official_last_name": "UZOIGWE",
        "authorized_official_first_name": "AMAKA",
        "authorized_official_middle_name": "CHRISTINE",
        "authorized_official_title_or_position": "PEDIATRICIAN",
        "authorized_official_telephone_number": "347-425-1849",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "243076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "033042094",
            "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 May 20, 2011; 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.