Greenpoint Pediatric PC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

189653 Issued in NY

Legal business name

GREENPOINT PEDIATRIC PC

Practice address

4710 Greenpoint Ave
Sunnyside, NY 11104-1710

Phone

(718) 389-2500

Fax

(718) 389-6484

NPI assigned

May 1, 2007

Organization subpart

No

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

Authorized official

Name

Hector B. Florimon-Delarosa, MD

Title

Medical Director

Phone

(718) 389-2500

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490572800000",
    "number": "1942421615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4710 GREENPOINT AVE",
            "city": "SUNNYSIDE",
            "state": "NY",
            "postal_code": "111041710",
            "telephone_number": "718-389-2500",
            "fax_number": "718-389-6484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4710 GREENPOINT AVE",
            "city": "SUNNYSIDE",
            "state": "NY",
            "postal_code": "111041710",
            "telephone_number": "718-389-2500",
            "fax_number": "718-389-6484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENPOINT PEDIATRIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2017-03-27",
        "status": "A",
        "authorized_official_last_name": "FLORIMON-DELAROSA",
        "authorized_official_first_name": "HECTOR",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "718-389-2500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "189653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Sunnyside, NY
• Providers in Sunnyside, NY by specialty
• Primary Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2017; 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.