Organization Active NPI

Manhattan Pediatrics, PC

  • Pediatrics Physician
  • New York, NY
National Provider Identifier
1679790075
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
189817 Issued in NY
Legal business name
MANHATTAN PEDIATRICS, PC
Practice address
125 East 72ND Street, Suite 1a
New York, NY 10021-4298
Phone
(212) 988-6500
Fax
(646) 559-4960
NPI assigned
Apr 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2024

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

Authorized official

Name
Dr. Gary Edelstein, M.D.
Title
President
Phone
(212) 988-6500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 189817 NY Primary

Addresses

Primary practice location

125 East 72ND Street, Suite 1a
New York, NY 10021-4298

Mailing address

125 East 72ND Street, Suite 1a
New York, NY 10021-4298
Phone (212) 988-6500

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2055423Manhattan Pediatrics, PC125 East 72ND Street, Suite 1a, New York, NY 10021Certificate of waiverMar 11, 2027

National Provider Directory

National Provider Directory

Locations

16 E 60th St
Ste 410
New York, NY 10022
Phone (212) 326-3351

Practitioners & affiliated clinicians

Practitioners 4

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": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716163200000",
    "number": "1679790075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 EAST 72ND STREET, SUITE 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214298",
            "telephone_number": "212-988-6500",
            "fax_number": "646-559-4960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 EAST 72ND STREET, SUITE 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214298",
            "telephone_number": "212-988-6500",
            "fax_number": "646-559-4960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANHATTAN PEDIATRICS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2024-05-20",
        "status": "A",
        "authorized_official_last_name": "EDELSTEIN",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-988-6500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "189817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.