Specialist Peds at Lich

Primary specialty

Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X

Legal business name

SPECIALIST PEDS AT LICH

Practice address

97 Amity St
Brooklyn, NY 11201-6004

Phone

(718) 780-1025

NPI assigned

May 27, 2006

Organization subpart

No

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

Authorized official

Name

Steven Schwarz, MD

Title

Managing Employee

Phone

(718) 780-1025

Specialties & licenses 5

Addresses

Other identifiers 1

Locations

Practitioners 11

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

• Talaat Abdelmoneim, MD

  • Pediatric Critical Care Medicine Physician
  • Dix Hills, NY
  • NPI 1134189897
  NPD (past)
• Sourab Choudhury, DO

  • Dermatology Physician
  • Brooklyn, NY
  • NPI 1861453698

  Dermatology

  NPD (past)
• Clara Giambruno, MD

  • Pediatrics Physician
  • Brooklyn, NY
  • NPI 1114988946
  NPD (past)
• Minnie John, M.D.

  • Pediatric Infectious Diseases Physician
  • Brooklyn, NY
  • NPI 1790745032
  NPD (past)
• Matthew Kaplan

  • Pediatrics Physician
  • Brooklyn, NY
  • NPI 1659332419
  NPD (past)
• Regina Mills, MD

  • Pediatrics Physician
  • Brooklyn, NY
  • NPI 1538120399
  NPD (past)
• Rasik V Shah, MD

  • Pediatrics Physician
  • New York, NY
  • NPI 1871553115
  NPD (past)
• Revathy Sundaram, MD

  • Pediatric Hematology & Oncology Physician
  • Brooklyn, NY
  • NPI 1215999008

  Pediatric Hematology-Oncology

  NPD (past)
• John Belko, MD

  • Pediatric Infectious Diseases Physician
  • Sacramento, CA
  • NPI 1750469409
  NPD (past)
• Umit Emre, MD

  • Pediatric Pulmonology Physician
  • Hartford, CT
  • NPI 1821050808
  NPD (past)
• Mimi Nu Ton, M.D.

  • Pediatric Gastroenterology Physician
  • Newark, NJ
  • NPI 1033178355

  Pediatric Gastroenterology

  NPD (past)

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1922055045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 WATER ST",
            "address_2": "20FL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100384922",
            "telephone_number": "212-256-3682",
            "fax_number": "212-256-3538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 AMITY ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112016004",
            "telephone_number": "718-780-1025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALIST PEDS AT LICH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "SCHWARZ",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "MANAGING EMPLOYEE",
        "authorized_official_telephone_number": "718-780-1025",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0205X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2080P0206X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0207X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02123191",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Brooklyn, NY
• Pediatric Endocrinology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.