1. Home
  2. Directory
  3. New York
  4. Brooklyn
  5. Pediatrics
  6. NPI Profile

DR. MINNIE JOHN M.D.
NPI 1790745032
Pediatrics - Pediatric Infectious Diseases in Brooklyn, NY

Active since March 23, 2006PECOS Enrolled
263 7TH AVE, BROOKLYN, NY 11215(718) 780-5260(718) 780-3266 Get Directions Write a Review

NPPES record last updated: September 12, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 3, 2023, Dec 18, 2019 (2 updates tracked since 2019).

About Dr. Minnie John M.d. NPPES

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

DR. MINNIE JOHN M.D. (NPI 1790745032) is an individual pediatric infectious diseases provider in Brooklyn, New York, licensed in New York (223528) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790745032
Entity TypeIndividualFemale
Primary Taxonomy2080P0208X
Provider Legal NameDR. MINNIE JOHNCredential: M.D.
Location Address263 7TH AVEBrooklyn, NY 11215-7247
Mailing AddressPo Box 5444New York, NY 10087-5444 · (718) 780-5260 · Fax (718) 780-3266
Phone(718) 780-5260
Fax(718) 780-3266
Sole ProprietorYes
Enumeration DateMarch 23, 2006
Last NPPES UpdateSeptember 12, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 12, 2023
✔ NPI 1790745032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Infectious DiseasesAllopathic & Osteopathic Physicians
Taxonomy Code2080P0208X
License✔ Licensed in NY · 223528
Definition
A pediatrician trained to care for children in the diagnosis, treatment and prevention of infectious diseases. This specialist can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying diseases that predispose to unusual or severe infections, unclear diagnoses, uncommon diseases and complex or investigational treatments.
Also ListedPediatricsTaxonomy 208000000X · License 223528 (NY)
263 7TH AVE, Brooklyn, NY 11215
Open in Google Maps ↗

Other Identifiers 1

Medicaid02586969NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Minnie John M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Minnie John reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kings Physician Services, PC
Same address
Diagnostic Radiology
506 6TH STREET
Brooklyn, NY 11215
  • Reassigned Medicare billing, New York enrollment
  • 1,029 clinicians in this Medicare group
NPI 1083045090 (718) 780-5051

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

JANE FONG M.D.
Pediatrics
263 7TH AVE
BROOKLYN, NY 11215
Kings County (718) 246-8510
DR. IRAM NADROO M.D.
Pediatrics
263 7TH AVE
BROOKLYN, NY 11215
Kings County (718) 780-5260
MATTHEW ALAN WERT MD
Orthopaedic Surgery (Sports Medicine)
263 7TH AVE, SUITE 2B
BROOKLYN, NY 11215
Kings County (718) 246-8700
JENNY SHULMAN OTR/L
Specialist
263 7TH AVE, SUITE 2A
BROOKLYN, NY 11215
Kings County (718) 780-5393
METRO ATHLETIC MEDICINE & FITNESS PC
Durable Medical Equipment & Medical Supplies (Customized Equipment)
263 7TH AVE, 2A
BROOKLYN, NY 11215
Kings County (718) 369-8000
ALBERT AYOUB M.D.
Obstetrics & Gynecology (Obstetrics)
263 7TH AVE, SUITE 4C
BROOKLYN, NY 11215
Kings County (718) 768-4338
DR. REGINALD E MANNING M.D.
Orthopaedic Surgery (Sports Medicine)
263 7TH AVE, SUITE 2B
BROOKLYN, NY 11215
Kings County (718) 246-8700
DR. BABRAK CARVAN M.D.
Pediatrics
263 7TH AVE
BROOKLYN, NY 11215
Kings County (718) 246-8510

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 Minnie John's NPI number?

The NPI number for Minnie John is 1790745032. It was assigned to this individual provider in the NPPES registry on March 23, 2006.

Where is Minnie John located?

Minnie John practices at 263 7th Ave, Brooklyn, NY 11215. The listed phone number is (718) 780-5260.

What is Minnie John's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Infectious Diseases, with taxonomy code 2080P0208X.

Is Minnie John enrolled in Medicare?

Yes. Minnie John is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Minnie John's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Minnie John reassigns Medicare benefits to Kings Physician Services, PC (Brooklyn, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Minnie John's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Minnie John was last updated on September 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.