OCEAN PARKWAY PEDIATRIC PRACTICE, PC
NPI 1285706218
Pediatrics - Adolescent Medicine in Brooklyn, NY
- Organization
- Pediatrics
- Adolescent Medicine
- CLIA Number: 33D0147714
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 01-03-2027
About OCEAN PARKWAY PEDIATRIC PRACTICE, PC
This page provides the complete NPI Profile along with additional information for Ocean Parkway Pediatric Practice, Pc, a pediatrician established in Brooklyn, New York operating as a Pediatrics, focusing in adolescent medicine . The healthcare provider is registered in the NPI registry with number 1285706218 assigned on November 2006. The practitioner's primary taxonomy code is 2080A0000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Miss Liza Chobrutskaya (Billing Manager)
- NPI
- 1285706218 Verify this NPI
- Provider Name
- OCEAN PARKWAY PEDIATRIC PRACTICE, PC
- Entity Type
- Organization
- Location Address
- 515 AVENUE I BROOKLYN, NY 11230
- Location Phone
- (718) 377-8800
- Mailing Address
- 515 AVENUE I BROOKLYN, NY 11230
- Mailing Phone
- (718) 377-8800
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-14-2006
- Last Update Date
- 08-22-2020
- Code Navigator
A pediatrician like Ocean Parkway Pediatric Practice, Pc is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics Adolescent Medicine
- Taxonomy Code
- 2080A0000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- 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.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 33D0147714
- Facility Type
- Physician Office
- Certificate Effective Date
- January 04, 2025
- Certificate Expiration Date
- January 03, 2027
- Laboratory Director
- DR. MADHU RAJARAM
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Ocean Parkway Pediatric Practice, Pc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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Other Providers at the Same Location
The following 7 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1285706218, enumerated as an "organization" on November 14, 2006.
The provider is located at 515 AVENUE I BROOKLYN, NY 11230 and the phone number is (718) 377-8800.
Pediatrics with taxonomy code 2080A0000X and a focus in Adolescent Medicine.
