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WYCKOFF PEDIATRIC CARE CENTER
NPI 1770962391
Clinic/Center in Brooklyn, NY

Active since May 28, 2015CLIA 33D2054035 · Waiver
374 STOCKHOLM STREET, WYCKOFF HEIGHTS MEDICAL CENTER - FACULTY PRACTICE, BROOKLYN, NY 11237(718) 963-7272 Get Directions Write a Review

NPPES record last updated: May 28, 2015. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Wyckoff Pediatric Care Center NPPES

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

WYCKOFF PEDIATRIC CARE CENTER (NPI 1770962391) is a healthcare organization registered as a clinic/center in Brooklyn, New York and active in the NPI registry since May 2015. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Frank Vutrano, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1770962391
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameWYCKOFF PEDIATRIC CARE CENTER
Location Address374 STOCKHOLM STREET, WYCKOFF HEIGHTS MEDICAL CENTER - FACULTY PRACTICEBrooklyn, NY 11237
Mailing Address1411 Myrtle Avenue, Wyckoff Pediatric Care CenterBrooklyn, NY 11237 · (718) 907-4301 · Fax (718) 919-1309
Phone(718) 963-7272
Organization SubpartYesParent: Wyckoff Professional Medical Services Pc
Authorized OfficialFrank VutranoChief Financial Officer · (718) 963-6702
Enumeration DateMay 28, 2015
✔ NPI 1770962391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
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).
374 STOCKHOLM STREET, Brooklyn, NY 11237
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Other Identifiers 2

Medicare PINWX0341NY
Medicaid03722025NY

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 33D2054035

Wyckoff Pediatric Center · Brooklyn, NY
Active · expires Mar 26, 2027
CLIA Number33D2054035
Laboratory TypeCommunity Clinic
Certificate Effective DateAugust 26, 2015
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Gianna Ballon
Laboratory Phone(718) 907-4301
Laboratory LocationWyckoff Pediatric Center1411 Myrtle Ave, Brooklyn, NY 11237
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 15

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

SARAH YU
Psychologist (Clinical)
374 STOCKHOLM STREET, WYCKOFF PROFESSIONAL MEDICAL SERVICES PC
BROOKLYN, NY 11237
Kings County (718) 963-7676
DR. MOHAMMAD GILANI DO
Surgery (Surgical Critical Care)
374 STOCKHOLM STREET
BROOKLYN, NY 11237
Kings County (718) 963-7602
DR. DIPTEE POUDEL MD
Student in an Organized Health Care Education/Training Program
374 STOCKHOLM STREET, BROOKLYN
NEW YORK, NY 11237
Kings County (718) 963-7272
WYCKOFF EMERGENCY MEDICINE SERVICES, PC
Physician Assistant
374 STOCKHOLM STREET, WYCKOFF EMERGENCY MEDICINE SERVICES, PC
BROOKLYN, NY 11237
Kings County (718) 963-7272
MANDEEP KAUR
Student in an Organized Health Care Education/Training Program
374 STOCKHOLM STREET, ROOM C-408
BROOKLYN, NY 11237
Kings County (646) 220-0692
WYCKOFF MEDICAL ASSOCIATES, PC
Clinic/Center (Multi-Specialty)
374 STOCKHOLM STREET, WYCKOFF MEDICAL ASSOCIATES, PC
BROOKLYN, NY 11237
Kings County (718) 963-7676
TAIMUR HAIDER M.D.
Student in an Organized Health Care Education/Training Program
374 STOCKHOLM STREET
BROOKLYN, NY 11237
Kings County (718) 963-7585
TMA, LLC
Radiology (Radiation Oncology)
374 STOCKHOLM STREET
BROOKLYN, NY 11237
Kings County (718) 963-7381

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 Wyckoff Pediatric Care Center's NPI number?

The NPI number for Wyckoff Pediatric Care Center is 1770962391. It was assigned to this organization in the NPPES registry on May 28, 2015.

Where is Wyckoff Pediatric Care Center located?

Wyckoff Pediatric Care Center is located at 374 Stockholm Street Wyckoff Heights Medical Center - Faculty Practice, Brooklyn, NY 11237. The listed phone number is (718) 963-7272.

What is Wyckoff Pediatric Care Center's specialty?

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

Does Wyckoff Pediatric Care Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2054035) is associated with this NPI, valid through March 26, 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 Wyckoff Pediatric Care Center was last updated on May 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.