Parkway Medical Group PLLC

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

196577 Issued in NY

Legal business name

PARKWAY MEDICAL GROUP PLLC

Practice address

391 Eastern Pkwy
Brooklyn, NY 11216-4153

Phone

(718) 613-1600

Fax

(718) 613-1666

NPI assigned

Mar 21, 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

Dr. Marie Laura Leon, MD

Title

Partner

Phone

(718) 613-1600

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Parkway Medical Group PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Parkway Medical Group PLLC

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1881656213
  NPD tax ID

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841259512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "391 EASTERN PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112164153",
            "telephone_number": "718-613-1600",
            "fax_number": "718-613-1666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "391 EASTERN PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112164153",
            "telephone_number": "718-613-1600",
            "fax_number": "718-613-1666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKWAY MEDICAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEON",
        "authorized_official_first_name": "MARIE LAURA",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "718-613-1600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NY",
            "license": "196577",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01682782",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Parkville Food Center LLC
• Parkville Medical Health PC
• Parkville Medical PC (Parcare Medical & Health Center)
• Parkville Vision Center Inc
• Parkway Counseling & Psychiatric Services, PC
• Parkway Medical Group PLLC
• Parkway Medical PLLC
• Parkway Pain Care & Rehabilitation P.C.
• Parkway Pain Care & Rehabilitation PC
• Parkway Pain Care &Rehababilitation PC

• Pediatric Adolescent Medicine Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Pediatric Adolescent 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.