Active NPI
PM Pediatrics
- Pediatrics Physician
- Brooklyn, NY
National Provider Identifier
1992024665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 203607
- Legal business name
- PM PEDIATRICS
- Practice address
- 2378 Ralph Ave
Brooklyn, NY 11234-5515 - Phone
- (718) 531-6660
- Fax
- (718) 531-6662
- NPI assigned
- May 20, 2010
- 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
- Tatyana Gabinskaya
- Title
- Attending
- Phone
- (718) 531-6660
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 203607 | NY | Primary |
Addresses
Primary practice location
2378 Ralph Ave
Brooklyn, NY 11234-5515
Mailing address
2378 Ralph Ave
Brooklyn, NY 11234-5515
Phone (718) 531-6660
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01952405 | Medicaid | NY |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274313600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1274313600000",
"number": "1992024665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2378 RALPH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112345515",
"telephone_number": "718-531-6660",
"fax_number": "718-531-6662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2378 RALPH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112345515",
"telephone_number": "718-531-6660",
"fax_number": "718-531-6662"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PM PEDIATRICS",
"organizational_subpart": "NO",
"enumeration_date": "2010-05-20",
"last_updated": "2010-05-20",
"status": "A",
"authorized_official_last_name": "GABINSKAYA",
"authorized_official_first_name": "TATYANA",
"authorized_official_title_or_position": "ATTENDING",
"authorized_official_telephone_number": "718-531-6660"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "NY",
"license": "203607",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01952405",
"state": "NY"
}
],
"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 May 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.