Organization Active NPI

PM Pediatrics

  • Pediatrics Physician
  • Brooklyn, NY
National Provider Identifier
1992024665
Registry record updated May 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
203607 Issued in NY
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

Updated by the provider on May 20, 2010

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)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
01952405MedicaidNY

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.