Organization Active NPI

Pediacare Physicians PLLC

  • Pediatrics Physician
  • Brooklyn, NY
National Provider Identifier
1700956927
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
149049 Issued in NY
Legal business name
PEDIACARE PHYSICIANS PLLC
Practice address
1636 E 14TH Street
Suite 108
Brooklyn, NY 11229
Phone
(718) 376-6425
Fax
(718) 376-6427
NPI assigned
Nov 8, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Edward J GindiNPI 1013012772
Title
Owner
Phone
(718) 376-6425

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 Physician 208000000X 149049 NY Primary

Addresses

Primary practice location

1636 E 14TH Street
Suite 108
Brooklyn, NY 11229

Mailing address

1636 E 14TH Street
Suite 108
Brooklyn, NY 11229
Phone (718) 376-6425

National Provider Directory

National Provider Directory

Locations

1636 E 14th St
Ste 108
Brooklyn, NY 11229
Phone (718) 376-6425

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700956927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1636 E 14TH STREET",
            "address_2": "SUITE 108",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11229",
            "telephone_number": "718-376-6425",
            "fax_number": "718-376-6427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1636 E 14TH STREET",
            "address_2": "SUITE 108",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11229",
            "telephone_number": "718-376-6425",
            "fax_number": "718-376-6427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIACARE PHYSICIANS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GINDI",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-376-6425"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "149049",
            "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 Aug 22, 2020; 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.