DMITRY PEDIATRICS, PEDIATRIC NURSE PRACTITIONER PC
NPI 1700483799
Nurse Practitioner - Pediatrics in Brooklyn, NY
About Dmitry Pediatrics, Pediatric Nurse Practitioner Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DMITRY PEDIATRICS, PEDIATRIC NURSE PRACTITIONER PC (NPI 1700483799) is a healthcare organization registered as a pediatrics in Brooklyn, New York and active in the NPI registry since October 2020. The organization holds a CLIA Waiver certificate valid through June 13, 2027 and lists Dmitry Shindelman, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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 33D2227508
Dmitry Pediatrics, Pediatric Nurse Practitioner PC · Brooklyn, NYOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Dmitry Pediatrics, Pediatric Nurse Practitioner PC's NPI number?
The NPI number for Dmitry Pediatrics, Pediatric Nurse Practitioner PC is 1700483799. It was assigned to this organization in the NPPES registry on October 3, 2020.
Where is Dmitry Pediatrics, Pediatric Nurse Practitioner PC located?
Dmitry Pediatrics, Pediatric Nurse Practitioner PC is located at 1726 Flatbush Ave, Brooklyn, NY 11210. The listed phone number is (646) 465-3055.
What is Dmitry Pediatrics, Pediatric Nurse Practitioner PC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Does Dmitry Pediatrics, Pediatric Nurse Practitioner PC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 33D2227508) is associated with this NPI, valid through June 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Dmitry Pediatrics, Pediatric Nurse Practitioner PC was last updated on September 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Dmitry Pediatrics, Pediatric Nurse Practitioner Pc · NPI 1700483799
Pediatrics organization in Brooklyn, New York. Organization record, active in the CMS NPPES registry since October 3, 2020.
## Identity
- **NPI:** 1700483799 (Entity type: Organization)
- **Enumerated:** October 3, 2020
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **Organization subpart:** No
- **Authorized official:** Dmitry Shindelman, PRESIDENT
## Practice location
- **Address:** 1726 FLATBUSH AVE, Brooklyn, NY 11210-4127
- **Phone:** (646) 465-3055
## Record status
- **NPPES last updated:** September 24, 2021
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1700483799) · Data from the CMS NPPES public registry.