Organization Active NPI

Ridgewood Pediatrics PC

  • Pediatrics Physician
  • Brooklyn, NY
National Provider Identifier
1700189149
Registry record updated Dec 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
197158 Issued in NY
Legal business name
RIDGEWOOD PEDIATRICS PC
Practice address
186 Cypress Ave
Brooklyn, NY 11237-4438
Phone
(718) 484-8488
Fax
(718) 484-8487
NPI assigned
Dec 7, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2010

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

Authorized official

Name
Dr. Fernando Arturo Ginebra, M.D.NPI 1962466813
Title
Owner
Phone
(718) 484-8488

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 197158 NY Primary

Addresses

Primary practice location

186 Cypress Ave
Brooklyn, NY 11237-4438

Mailing address

186 Cypress Ave
Brooklyn, NY 11237-4438
Phone (718) 484-8488

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CBIHAA

Practitioners & affiliated clinicians

Practitioners 1

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": "1291680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291680000000",
    "number": "1700189149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 CYPRESS AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112374438",
            "telephone_number": "718-484-8488",
            "fax_number": "718-484-8488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "186 CYPRESS AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112374438",
            "telephone_number": "718-484-8488",
            "fax_number": "718-484-8487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDGEWOOD PEDIATRICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-07",
        "last_updated": "2010-12-07",
        "status": "A",
        "authorized_official_last_name": "GINEBRA",
        "authorized_official_first_name": "FERNANDO",
        "authorized_official_middle_name": "ARTURO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-484-8488",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "197158",
            "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 Dec 7, 2010; 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.