Active NPI
Lich Faculty Practice
- Pediatrics Physician
- Brooklyn, NY
National Provider Identifier
1982888632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- LICH FACULTY PRACTICE
- Practice address
- 339 Hicks St
Brooklyn, NY 11201-5509 - Phone
- (718) 780-1000
- NPI assigned
- Dec 18, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Deborah Hackett
- Title
- Avp
- Phone
- (212) 256-3424
Specialties & licenses 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | |||
| Pediatrics Physician | 208000000X | Primary | ||
| Pediatric Adolescent Medicine Physician | 2080A0000X | |||
| Pediatric Cardiology Physician | 2080P0202X | |||
| Pediatric Critical Care Medicine Physician | 2080P0203X | |||
| Pediatric Endocrinology Physician | 2080P0205X | |||
| Pediatric Gastroenterology Physician | 2080P0206X | |||
| Pediatric Hematology & Oncology Physician | 2080P0207X | |||
| Pediatric Infectious Diseases Physician | 2080P0208X | |||
| Pediatric Pulmonology Physician | 2080P0214X |
Addresses
Primary practice location
339 Hicks St
Brooklyn, NY 11201-5509
Mailing address
160 Water St
20TH Floor
New York, NY 10038-4922
Phone (212) 256-3424
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197936000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1207526400000",
"number": "1982888632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "160 WATER ST",
"address_2": "20TH FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100384922",
"telephone_number": "212-256-3424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "339 HICKS ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112015509",
"telephone_number": "718-780-1000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LICH FACULTY PRACTICE",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-18",
"last_updated": "2008-04-07",
"status": "A",
"authorized_official_last_name": "HACKETT",
"authorized_official_first_name": "DEBORAH",
"authorized_official_title_or_position": "AVP",
"authorized_official_telephone_number": "212-256-3424"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
},
{
"code": "2080A0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics, Adolescent Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2080P0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics, Pediatric Cardiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2080P0203X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2080P0205X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics, Pediatric Endocrinology",
"state": null,
"license": null,
"primary": false
},
{
"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
},
{
"code": "2080P0208X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics, Pediatric Infectious Diseases",
"state": null,
"license": null,
"primary": false
},
{
"code": "2080P0214X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics, Pediatric Pulmonology",
"state": null,
"license": null,
"primary": false
}
],
"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 Apr 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.