Organization Active NPI

Gates Pediatrics PC

  • Pediatric Adolescent Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1912169392
Registry record updated Jun 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
Legal business name
GATES PEDIATRICS PC
Practice address
1532 Gates Ave
Brooklyn, NY 11237-5727
Phone
(718) 821-2020
Fax
(718) 821-1005
NPI assigned
Jun 27, 2008
Last updated
Jun 27, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2008

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

Authorized official

Name
Maria B. Soto
Title
MD
Phone
(718) 821-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080A0000X Primary

Addresses

Primary practice location

1532 Gates Ave
Brooklyn, NY 11237-5727

Mailing address

1532 Gates Ave
Brooklyn, NY 11237-5727
Phone (718) 821-2020

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D1089936Gates Pediatrics Center1532 Gates Avenue, Brooklyn, NY 11237Certificate of waiverSep 29, 2026

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1214524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214524800000",
    "number": "1912169392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1532 GATES AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112375727",
            "telephone_number": "718-821-2020",
            "fax_number": "718-821-1005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1532 GATES AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112375727",
            "telephone_number": "718-821-2020",
            "fax_number": "718-821-1005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATES PEDIATRICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-27",
        "last_updated": "2008-06-27",
        "status": "A",
        "authorized_official_last_name": "SOTO",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "718-821-2020"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "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 Jun 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.