Organization Active NPI

Giombetti & Brady Pediatrics PLLC

Doing business as Giombetti and Brady Pediatrics

  • Pediatrics Physician
  • Delmar, NY
National Provider Identifier
1821257320
Registry record updated Jun 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
GIOMBETTI & BRADY PEDIATRICS PLLC
Doing business as
Giombetti and Brady Pediatrics
Practice address
208 Delaware Ave
Delmar, NY 12054-1221
Phone
(518) 439-5611
Fax
(518) 439-9576
NPI assigned
Jun 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2008

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

Authorized official

Name
Dr. Kathleen Brady, MDNPI 1265499800
Title
Co-Owner
Phone
(518) 439-5611

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 NY Primary

Addresses

Primary practice location

208 Delaware Ave
Delmar, NY 12054-1221

Mailing address

208 Delaware Ave
Delmar, NY 12054-1221
Phone (518) 439-5611

Other identifiers 2

IdentifierTypeStateIssuer
9367OtherNYCDPHP
2698631OtherNYGHI

Other names 1

  • GIOMBETTI AND BRADY PEDIATRICS Doing business as

National Provider Directory

National Provider Directory

Locations

208 Delaware Ave
Delmar, NY 12054
Phone (518) 439-5611

Practitioners & affiliated clinicians

Practitioners 4

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": "1212969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212969600000",
    "number": "1821257320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 DELAWARE AVE",
            "city": "DELMAR",
            "state": "NY",
            "postal_code": "120541221",
            "telephone_number": "518-439-5611",
            "fax_number": "518-439-9576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 DELAWARE AVE",
            "city": "DELMAR",
            "state": "NY",
            "postal_code": "120541221",
            "telephone_number": "518-439-5611",
            "fax_number": "518-439-9576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIOMBETTI & BRADY PEDIATRICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-09",
        "last_updated": "2008-06-09",
        "status": "A",
        "authorized_official_last_name": "BRADY",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "518-439-5611",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP",
            "identifier": "9367",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "2698631",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GIOMBETTI AND BRADY PEDIATRICS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Delmar, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2008; 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.