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GATES PEDIATRICS PC NPI 1912169392


NPI Information

NPI: 1912169392
Provider Name: GATES PEDIATRICS PC
Classification: Pediatrics - 2080A0000X
Entity Type: Organization

Specialization: Adolescent Medicine

CLIA Number: 33D1089936

Address:
1532 GATES AVE
BROOKLYN, NY
ZIP 11237
Phone: (718) 821-2020
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GATES PEDIATRICS 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. GATES PEDIATRICS PC NPI is 1912169392. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1532 GATES AVE
BROOKLYN, NY
ZIP 11237-727
Phone: (718) 821-2020
Fax: (718) 821-1005

The provider's authorized official is Maria B. Soto .
The authorized official title is Md and has the following contact phone number (718) 821-2020.

The CLIA number assigned to this NPI record is 33D1089936 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/27/2008 and was last updated on 6/27/2008.


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

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.