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PEDIATRIC&ADOLESCENT MEDICAL CARE PLLC
NPI 1699103879
Pediatrics - Adolescent Medicine in Brooklyn, NY

Active since October 24, 2013
450 76TH ST, BROOKLYN, NY 11209(718) 333-5483(718) 980-0085 Get Directions Write a Review

NPPES record last updated: October 24, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Pediatric&adolescent Medical Care Pllc NPPES

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

PEDIATRIC&ADOLESCENT MEDICAL CARE PLLC (NPI 1699103879) is a healthcare organization registered as an adolescent medicine in Brooklyn, New York and active in the NPI registry since October 2013. The organization lists Emad Ghaly, Ceo, as its authorized official.

NPPES Registry Identity

NPI1699103879
Entity TypeOrganization
Primary Taxonomy2080A0000X
Legal Business NamePEDIATRIC&ADOLESCENT MEDICAL CARE PLLC
Location Address450 76TH STBrooklyn, NY 11209-3204
Mailing Address450 76th StBrooklyn, NY 11209-3204 · (718) 333-5483 · Fax (718) 980-0085
Phone(718) 333-5483
Fax(718) 980-0085
Organization SubpartNo
Authorized OfficialEmad GhalyCeo · (718) 333-5483
Enumeration DateOctober 24, 2013
✔ NPI 1699103879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License✔ Licensed in NY · 219864
Definition
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.
450 76TH ST, Brooklyn, NY 11209
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Other Identifiers 3

Medicaid01928032NY
Medicare PIN558221NY
Other219864NY · Ny Lic

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

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 Pediatric&adolescent Medical Care PLLC's NPI number?

The NPI number for Pediatric&adolescent Medical Care PLLC is 1699103879. It was assigned to this organization in the NPPES registry on October 24, 2013.

Where is Pediatric&adolescent Medical Care PLLC located?

Pediatric&adolescent Medical Care PLLC is located at 450 76th St, Brooklyn, NY 11209. The listed phone number is (718) 333-5483.

What is Pediatric&adolescent Medical Care PLLC's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

When was this NPI record last updated?

The NPPES record for Pediatric&adolescent Medical Care PLLC was last updated on October 24, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.