Brighton Pediatric Care PC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

BRIGHTON PEDIATRIC CARE PC

Practice address

706 Banner Ave
Brooklyn, NY 11235-6957

Phone

(718) 368-3092

NPI assigned

Apr 14, 2021

Organization subpart

No

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

Authorized official

Name

Shila Momtaj

Title

Managing Director

Phone

(718) 368-3092

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Practitioners 1

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

• Syed M Hussaini, MD FAAP

  • Pediatrics Physician
  • Brooklyn, NY
  • NPI 1801845326
  NPD

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

{
    "created_epoch": "1618358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618358400000",
    "number": "1902486715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 BANNER AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112356957",
            "telephone_number": "718-368-3092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 BANNER AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112356957",
            "telephone_number": "718-368-3092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTON PEDIATRIC CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-14",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A",
        "authorized_official_last_name": "MOMTAJ",
        "authorized_official_first_name": "SHILA",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "718-368-3092"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01415214",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://healthix.org/",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "706 Banner Ave",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112356957",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Brighton Medical Diagnostic
• Brighton Medical PC
• Brighton Medical Practice P.C.
• Brighton Medical Services PC
• Brighton Medical Services, PC
• Brighton Pharmacy II ,Inc
• Brighton Pharmacy Inc
• Brighton Podiatry PC
• Brighton Rehab PT PC
• Brighton RX Inc

• Pediatrics Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2021; 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.