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DOVE PEDIATRIC SERVICE
NPI 1336116722
Pediatrics in Brooklyn, NY

Active since March 03, 2006CLIA 33D1039599 · Waiver
86 E 49TH ST, SUITE G, BROOKLYN, NY 11203(718) 363-6646 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dove Pediatric Service NPPES

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

DOVE PEDIATRIC SERVICE (NPI 1336116722) is a healthcare organization registered as a pediatrics in Brooklyn, New York and active in the NPI registry since March 2006. The organization holds a CLIA Waiver certificate valid through July 19, 2028 and lists Rosemary M Jackson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1336116722
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameDOVE PEDIATRIC SERVICE
Location Address86 E 49TH ST, SUITE GBrooklyn, NY 11203-1901
Mailing Address20514 115th AveSaint Albans, NY 11412-2904 · (718) 276-9433
Phone(718) 363-6646
Organization SubpartNo
Authorized OfficialRosemary M JacksonCeo · (718) 363-6646
Enumeration DateMarch 3, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1336116722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NY · 169649
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.
86 E 49TH ST, Brooklyn, NY 11203
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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 33D1039599

Dove Pediatric Services PC · Brooklyn, NY
Active · expires Jul 19, 2028
CLIA Number33D1039599
Laboratory TypePhysician Office
Certificate Effective DateJuly 20, 2026
Certificate Expiration DateJuly 19, 2028
Laboratory DirectorDr. Rosemary M. Jackson
Laboratory Phone(718) 363-6646
Laboratory LocationDove Pediatric Services PC900 Lenox Road, Brooklyn, NY 11203
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 4

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

DR. ELNA TAMAYO-PRADO M.D.
Pediatrics
86 E 49TH ST, SUITE G
BROOKLYN, NY 11203
Kings County (718) 363-6646
DR. JON DAVID KIRWIN M.D.
Surgery (Vascular Surgery)
86 E 49TH ST, KATZ BUILDING
BROOKLYN, NY 11203
Kings County (718) 288-1875
WESTIN MEDICAL HEALTH PC
Clinic/Center (Primary Care)
86 E 49TH ST
BROOKLYN, NY 11203
Kings County (718) 363-6835
KEVIN TYRONE CUSTIS M.D.
Family Medicine
86 E 49TH ST, SUITE A
BROOKLYN, NY 11203
Kings County (718) 363-6675

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 Dove Pediatric Service's NPI number?

The NPI number for Dove Pediatric Service is 1336116722. It was assigned to this organization in the NPPES registry on March 3, 2006.

Where is Dove Pediatric Service located?

Dove Pediatric Service is located at 86 E 49th St Suite G, Brooklyn, NY 11203. The listed phone number is (718) 363-6646.

What is Dove Pediatric Service's specialty?

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

Does Dove Pediatric Service hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D1039599) is associated with this NPI, valid through July 19, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Dove Pediatric Service was last updated on August 22, 2020. 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.