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PENG'S MEDICAL, P.C.
NPI 1124279013
Pediatrics in Brooklyn, NY

Active since October 09, 2008CLIA 33D1090431 · Waiver
863 50TH ST, M6, BROOKLYN, NY 11220(347) 240-8482(347) 295-1259 Get Directions Write a Review

NPPES record last updated: October 9, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Peng's Medical, P.c. NPPES

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

PENG'S MEDICAL, P.C. (NPI 1124279013) is a healthcare organization registered as a pediatrics in Brooklyn, New York and active in the NPI registry since October 2008. The organization holds a CLIA Waiver certificate valid through October 9, 2026 and lists Jinpeng Peng, President, as its authorized official.

NPPES Registry Identity

NPI1124279013
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePENG'S MEDICAL, P.C.
Location Address863 50TH ST, M6Brooklyn, NY 11220-2417
Mailing Address863 50th St, M6Brooklyn, NY 11220-2417 · (347) 240-8482 · Fax (347) 295-1259
Phone(347) 240-8482
Fax(347) 295-1259
Organization SubpartNo
Authorized OfficialJinpeng PengPresident · (347) 240-8482
Enumeration DateOctober 9, 2008
✔ NPI 1124279013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NY · 233523
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 ST, Brooklyn, NY 11220
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Other Identifiers 3

Medicaid02610240NY
Medicare PIN605Y91NY
Medicare UPINI22370NY

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 33D1090431

Peng's Medical PC · Brooklyn, NY
Active · expires Oct 9, 2026
CLIA Number33D1090431
Laboratory TypePhysician Office
Certificate Effective DateOctober 10, 2024
Certificate Expiration DateOctober 9, 2026
Laboratory DirectorDr. Jinpeng Peng
Laboratory Phone(347) 240-8482
Laboratory LocationPeng's Medical PC863 5oth Street, M6, Brooklyn, NY 11220
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JINPENG PENG MD
Pediatrics
863 50TH ST, M6
BROOKLYN, NY 11220
Kings County (347) 240-8482
MS. AGNES L SO MD
Pediatrics
863 50TH ST, 2ND FL SUITE M5
BROOKLYN, NY 11220
Kings County (718) 686-8880
DR. JENNIFER CHENG M.D.
Pediatrics
863 50TH ST, UNIT M5
BROOKLYN, NY 11220
Kings County (718) 686-8880

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 Peng's Medical, P.C.'s NPI number?

The NPI number for Peng's Medical, P.C. is 1124279013. It was assigned to this organization in the NPPES registry on October 9, 2008.

Where is Peng's Medical, P.C. located?

Peng's Medical, P.C. is located at 863 50th St M6, Brooklyn, NY 11220. The listed phone number is (347) 240-8482.

What is Peng's Medical, P.C.'s specialty?

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

Does Peng's Medical, P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D1090431) is associated with this NPI, valid through October 9, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Peng's Medical, P.C. was last updated on October 9, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.