FIRST CARE MEDICAL GROUP PC
NPI 1114080330
Pediatrics in Brooklyn, NY

Active since December 18, 2006CLIA 33D1067558 · Waiver
863 50TH STREET, SUITE M5, BROOKLYN, NY 11220(718) 686-8880(718) 686-8891 Get Directions Write a Review

NPPES record last updated: January 15, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 15, 2021, Aug 22, 2020 (2 updates tracked since 2020).

About First Care Medical Group Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FIRST CARE MEDICAL GROUP PC (NPI 1114080330) is a healthcare organization registered as a pediatrics in Brooklyn, New York and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through April 19, 2027 and lists Agnes Laiping So, President, as its authorized official.

NPPES Registry Identity

NPI1114080330
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameFIRST CARE MEDICAL GROUP PC
Location Address863 50TH STREET, SUITE M5Brooklyn, NY 11220
Mailing Address863 50th Street, Suite M5Brooklyn, NY 11220-2417 · (718) 686-8880 · Fax (718) 686-8891
Fax(718) 686-8891
Organization SubpartNo
Authorized OfficialAgnes Laiping SoPresident · (917) 882-3010
Enumeration DateDecember 18, 2006
Last NPPES UpdateJanuary 15, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 15, 2021
NPI 1114080330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in NY · 213474
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
863 50TH STREET, Brooklyn, NY 11220

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D1067558

First Care Medical Group PC · Brooklyn, NY
Active · expires Apr 19, 2027
CLIA Number33D1067558
Laboratory TypePhysician Office
Certificate Effective DateApril 20, 2025
Certificate Expiration DateApril 19, 2027
Laboratory DirectorAgnes So
Laboratory Phone(718) 686-8880
Laboratory LocationFirst Care Medical Group PC863 50th Street Suite M5, Brooklyn, NY 11220
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is First Care Medical Group PC's NPI number?

The NPI number for First Care Medical Group PC is 1114080330. It was assigned to this organization in the NPPES registry on December 18, 2006.

Where is First Care Medical Group PC located?

First Care Medical Group PC is located at 863 50th Street Suite M5, Brooklyn, NY 11220. The listed phone number is (718) 686-8880.

What is First Care Medical Group PC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does First Care Medical Group PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D1067558) is associated with this NPI, valid through April 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for First Care Medical Group PC was last updated on January 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.