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OCEAN PARKWAY PEDIATRIC PRACTICE PC NPI 1285706218


NPI Information

NPI: 1285706218
Provider Name: OCEAN PARKWAY PEDIATRIC PRACTICE, PC
Classification: Pediatrics - 2080A0000X
Entity Type: Organization

Specialization: Adolescent Medicine

CLIA Number: 33D0147714

Address:
515 AVENUE I
BROOKLYN, NY
ZIP 11230
Phone: (718) 377-8800
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OCEAN PARKWAY PEDIATRIC PRACTICE, PC is an adolescent medicine pediatrics in Brooklyn, NY. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. OCEAN PARKWAY PEDIATRIC PRACTICE, PC NPI is 1285706218. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

515 AVENUE I
BROOKLYN, NY
ZIP 11230-653
Phone: (718) 377-8800

The provider's authorized official is Liza Chobrutskaya .
The authorized official title is Billing Manager and has the following contact phone number (718) 236-1056.

The CLIA number assigned to this NPI record is 33D0147714 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 11/14/2006 and was last updated on 8/22/2020.


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
12080A0000XPediatricsAdolescent MedicineYes

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: 4/28/2024

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