NPIMap

Organization Active NPI

MMC Pediatric Neurology FPP

  • Pediatric Neurodevelopmental Disabilities Physician
  • Brooklyn, NY
National Provider Identifier
1801802426
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Neurodevelopmental Disabilities PhysicianTaxonomy code 2080P0008X
Legal business name
MMC PEDIATRIC NEUROLOGY FPP
Practice address
948 48TH Street
Brooklyn, NY 11219
Phone
(718) 283-8260
Fax
(718) 283-6147
NPI assigned
Aug 1, 2006
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
Steven Shelov, MD
Title
Chairman, Department of Pediatrics
Phone
(718) 283-7500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Neurodevelopmental Disabilities PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2080P0008X Primary

Addresses

Primary practice location

948 48TH Street
Brooklyn, NY 11219

Mailing address

977 48TH Street
Attention: Kathlyn Orlando
Brooklyn, NY 11219
Phone (718) 283-8015

National Provider Directory

National Provider Directory

Locations

977 48th St
Brooklyn, NY 11219
Phone (718) 283-8894

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801802426",
    "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": "948 48TH STREET",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11219",
            "telephone_number": "718-283-8260",
            "fax_number": "718-283-6147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MMC PEDIATRIC NEUROLOGY FPP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "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": "2080P0008X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Neurodevelopmental Disabilities",
            "state": null,
            "license": null,
            "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.