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PEDERSON KRAG
NPI 1669843413
Clinic/Center in Flushing, NY

Active since October 19, 2015
142-02 20TH AVENUE, FLUSHING, NY 11351(718) 559-0555 Get Directions Write a Review

NPPES record last updated: October 19, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Pederson Krag NPPES

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

PEDERSON KRAG (NPI 1669843413) is a healthcare organization registered as a clinic/center in Flushing, New York and active in the NPI registry since October 2015. The organization lists Malik R. Dean, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1669843413
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NamePEDERSON KRAG
Location Address142-02 20TH AVENUEFlushing, NY 11351
Mailing Address142-02 20th AvenueFlushing, NY 11351 · (718) 559-0555
Phone(718) 559-0555
Organization SubpartNo
Authorized OfficialMalik R. DeanCredentialing Manager · (718) 559-0555
Enumeration DateOctober 19, 2015
✔ NPI 1669843413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in NY · 089076
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
142-02 20TH AVENUE, Flushing, NY 11351
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Other Providers at the Same Location NPPES 7

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

GABRIEL GEORGE BENITEZ RN
Registered Nurse
142-02 20TH AVENUE
ROSEDALE, NY 11351
Queens County (917) 563-3350
BARI GLICKMAN
Student in an Organized Health Care Education/Training Program
142-02 20TH AVENUE
FLUSHING, NY 11351
Queens County (917) 563-3350
MISS SAMANTHA NISI
Student in an Organized Health Care Education/Training Program
142-02 20TH AVENUE
FLUSHING, NY 11351
Queens County (718) 559-0516
JONATHAN SEM
Student in an Organized Health Care Education/Training Program
142-02 20TH AVENUE
FLUSHING, NY 11351
Queens County (719) 559-0555
CHELSEA VIRGINIA CARSON LMSW
Social Worker
142-02 20TH AVENUE
FLUSHING, NY 11351
Queens County (718) 559-0055
MISS KIRBY GOLDBERG
Student in an Organized Health Care Education/Training Program
142-02 20TH AVENUE, THE PEDERSON-KRAG CENTER
FLUSHING, NY 11351
Queens County (718) 559-0555
CORRIN PAUL
Community/Behavioral Health
142-02 20TH AVENUE
FLUSHING, NY 11351
Queens County (718) 559-0555

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 Pederson Krag's NPI number?

The NPI number for Pederson Krag is 1669843413. It was assigned to this organization in the NPPES registry on October 19, 2015.

Where is Pederson Krag located?

Pederson Krag is located at 142-02 20th Avenue, Flushing, NY 11351. The listed phone number is (718) 559-0555.

What is Pederson Krag's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Pederson Krag was last updated on October 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.