GOOD CARE PEDIATRIC LLP - NPI 1871775536 - Pediatrics in Brooklyn, NY

Q: What is the provider's specialty?

The provider's specialty is Pediatrics with taxonomy code 208000000X.

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About Good Care Pediatric Llp NPPES

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

GOOD CARE PEDIATRIC LLP (NPI 1871775536) is a healthcare organization registered as a pediatrics in Brooklyn, New York and active in the NPI registry since December 2007. The organization holds a CLIA Waiver certificate valid through May 27, 2027 and lists Lilya Darevskaya, Doctor, as its authorized official.

NPPES Registry Identity

NPI1871775536

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameGOOD CARE PEDIATRIC LLP

Location Address2647 CONEY ISLAND AVEBrooklyn, NY 11223-5502

Mailing Address2647 Coney Island AveBrooklyn, NY 11223-5502 · (718) 891-1551 · Fax (718) 368-1177

Phone(718) 891-1551

Fax(718) 368-1177

Organization SubpartNo

Authorized OfficialLilya DarevskayaDoctor · (718) 891-1551

Enumeration DateDecember 4, 2007

✔ NPI 1871775536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in NY · 208922

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

2647 CONEY ISLAND AVE, Brooklyn, NY 11223

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Other Identifiers 1

Medicaid01884293NY

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

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 33D0958845

Good Care Pediatric LLP · Brooklyn, NY

Active · expires May 27, 2027

CLIA Number33D0958845

Laboratory TypePhysician Office

Certificate Effective DateMay 28, 2025

Certificate Expiration DateMay 27, 2027

Laboratory DirectorDr. Lilya Darevskaya

Laboratory Phone(718) 891-1551

Laboratory LocationGood Care Pediatric LLP1829 East 13th Street, Unit A1, Brooklyn, NY 11229

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 14

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

DR. SOFIYA BONDAR DDS

Dentist (General Practice)