MMC Pediatric Critical Care FPP

Primary specialty

Pediatric Critical Care Medicine PhysicianTaxonomy code 2080P0203X

Legal business name

MMC PEDIATRIC CRITICAL CARE FPP

Practice address

4802 10TH Avenue
Brooklyn, NY 11219

Phone

(718) 283-8854

Fax

(718) 635-6331

NPI assigned

Jul 27, 2006

Last updated

Aug 22, 2020By 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

Steven Shelov, MDNPI 1497836555

Title

Chairman, Department of Pediatrics

Phone

(718) 283-7500

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Steven P Shelov, MD

  • Pediatrics Physician
  • Brooklyn, NY
  • NPI 1497836555
  Authorized official Same address or phone

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740204114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "977 48TH STREET",
            "address_2": "ATTENTION: KATHLYN ORLANDO",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11219",
            "telephone_number": "718-283-8015",
            "fax_number": "718-635-7235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4802 10TH AVENUE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11219",
            "telephone_number": "718-283-8854",
            "fax_number": "718-635-6331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MMC PEDIATRIC CRITICAL CARE FPP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHELOV",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "CHAIRMAN, DEPARTMENT OF PEDIATRICS",
        "authorized_official_telephone_number": "718-283-7500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• MMC OB-GYN Faculty Practice Plan
• MMC OB-GYN Faculty Practice Plan
• MMC OB/GYN FPP (MMC Gyn Oncology)
• MMC OB/GYN Hospital
• MMC Pediatric Ambulatory Care
• MMC Pediatric Hematology Oncology
• MMC Pediatric Hospital Medicine FPP
• MMC Pediatric Neurology FPP
• MMC Pediatrics Faculty Practice
• MMC Pedram Bral FPP

• Pediatric Critical Care Medicine Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Pediatric Critical Care Medicine Physician in New York

• 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.