Prosper Pediatrics

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

189546 Issued in NY

Legal business name

PROSPER PEDIATRICS

Practice address

1825 Foster Ave
Suite 1JJ
Brooklyn, NY 11230-1834

Phone

(718) 421-9176

Fax

(718) 421-1539

NPI assigned

Mar 19, 2013

Last updated

Mar 19, 2013By 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. Magally Prosper, MD

Title

Owner Physician

Phone

(718) 421-9176

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1363651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363651200000",
    "number": "1679815559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 FOSTER AVE",
            "address_2": "SUITE 1JJ",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112301834",
            "telephone_number": "718-421-9176",
            "fax_number": "718-421-1539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 FOSTER AVE",
            "address_2": "SUITE 1JJ",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112301834",
            "telephone_number": "718-421-9176",
            "fax_number": "718-421-1539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSPER PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-19",
        "last_updated": "2013-03-19",
        "status": "A",
        "authorized_official_last_name": "PROSPER",
        "authorized_official_first_name": "MAGALLY",
        "authorized_official_title_or_position": "OWNER PHYSICIAN",
        "authorized_official_telephone_number": "718-421-9176",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": "NY",
            "license": "189546",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01605476",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Prospect Park Nursing Home (Prospect Park Care Center, Inc.)
• Prospect Park Operating, LLC (Brooklyn Center for Rehabilitation and Residential Health Care)
• Prospect Park Psychiatry PLLC
• Prospect Psychology LLC
• Prosper Applied Behavior Analysis PLLC
• Everton A. Prospere, M.D.
• Marie Joe Prospere
• Prosperous Start
• Michelle Pross
• Promise Princess Prosser

• Legal Medicine in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Legal Medicine in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2013; 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.