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DR. MENG PEDIATRIC PC NPI 1134492903


NPI Information

NPI: 1134492903
Provider Name: DR. MENG PEDIATRIC PC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 33D2058966

Address:
821 57TH ST
MEDICAL UNIT # 2
BROOKLYN, NY
ZIP 11220
Phone: (646) 836-3354
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DR. MENG PEDIATRIC PC is a primary care clinic center in Brooklyn, NY. DR. MENG PEDIATRIC PC NPI is 1134492903. The provider is registered as an organization entity type.

The provider's business location address is:

821 57TH ST
MEDICAL UNIT # 2
BROOKLYN, NY
ZIP 11220-645
Phone: (646) 836-3354
Fax: (718) 436-5929

The provider's authorized official is Gang Meng .
The authorized official title is President and has the following contact phone number (646) 683-0005.

The CLIA number assigned to this NPI record is 33D2058966 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/9/2012 and was last updated on 2/9/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QP2300XClinic/CenterPrimary Care250354NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
103075418MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.