PACE PEDIATRIC PRACTICE PC (NPI# 1801937099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801937099 |
| Entity Type | Organization |
| Organization Name | PACE PEDIATRIC PRACTICE PC |
| Practice Address |
629 Eastern Pkwy Brooklyn NY 11213-3339 |
| Mailing Address |
657 E 26th St Apt 1u Brooklyn NY 11210-2170 |
| Practice Telephone | 7187718435 |
| Mailing Telephone | 7184214246 |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. BOLANLE OLAJIDE (PRESIDENT) |
| Authorized Official Telephone | 7187718435 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 210092 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 0187839 | 05 |
| Street Address |
629 EASTERN PKWY |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11213-3339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750340683 | Ransford Newman | Otolaryngology | 629 Eastern Pkwy, Brooklyn, NY 11213-3339 | 2006-03-20 |
| 1538789359 | Eat Yer Veggies LLC | Clinic/Center | 629 Eastern Pkwy, Brooklyn, NY 11213-3354 | 2020-04-22 |
| 1508410556 | Caylee Clay | Dietitian, Registered | 629 Eastern Pkwy, Brooklyn, NY 11213-3354 | 2019-07-29 |
| 1053973115 | Tatsiana Palavets | Optometrist | 629 Eastern Pkwy, Brooklyn, NY 11213-3354 | 2019-06-28 |
| 1114311750 | Benjamin Arthur O.d. M.s., PC | Optometrist | 629 Eastern Pkwy, Unit #m4 (202), Brooklyn, NY 11213-3354 | 2015-03-20 |
| 1144660408 | Benjamin Menlah Arthur | Optometrist | 629 Eastern Pkwy, Unit #m4 (202), Brooklyn, NY 11213-3354 | 2013-07-01 |
| 1295866747 | Elite Comprehensive Medical Services Pllc | Clinic/Center | 629 Eastern Pkwy, Brooklyn, NY 11213-3339 | 2007-03-08 |
| 1669550687 | Andrew D Black | Internal Medicine | 629 Eastern Pkwy, Brooklyn, NY 11213-3354 | 2006-11-01 |
| 1851312649 | Muhammad H Dogar | Internal Medicine | 629 Eastern Pkwy, Suite 201, Brooklyn, NY 11213-3354 | 2006-07-21 |
| 1205888120 | Claudia M Wilson | Internal Medicine | 629 Eastern Pkwy, Brooklyn, NY 11213-3339 | 2006-05-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548885262 | Zaire Hairston | Counselor | 1625 President Street Brooklyn, Ny 11213 Apt 3a, 1625 President Street Brooklyn, Ny 11213 Apt 3a, Brooklyn, NY 11213 | 2020-06-09 |
| 1447801394 | Rron Lleshi | Physician Assistant | 1635 Union Street, Apt 1a, Brooklyn, NY 11213 | 2019-09-23 |
| 1639723174 | Jamie Zena Morris | Licensed Vocational Nurse | 1372 Sterling Pl B2, Brooklyn, NY 11213 | 2019-08-01 |
| 1073097572 | Mariia Tonkonog | Specialist | 878 Easetern Pkwy, Brooklyn, NY 11213 | 2018-09-20 |
| 1114413234 | Rimma Salganik | Social Worker | Bright Futures for The Children, 119 Schenectady Ave, Brooklyn, NY 11213 | 2018-07-02 |
| 1861980138 | Ibrahim Elkattawy | Student in an Organized Health Care Education/Training Program | 1545 Atlantic Ave # 11213, Brooklyn, NY 11213 | 2018-04-23 |
| 1528571858 | Rivkah Shuchat | Physical Therapist | Homecare, Brooklyn, NY 11213 | 2017-11-08 |
| 1356854699 | Lisa Watler | Physical Therapy Assistant | 1470 Union Street, Brooklyn, NY 11213 | 2017-11-08 |
| 1962914713 | Rockaway Ave Pharmacy Inc | Pharmacist | 226 Schenectady Ave, Brooklyn, NY 11213 | 2017-11-02 |
| 1649796152 | Janet Agbaku | Registered Nurse | 893 Eastern Parkway, Fl 2, Brooklyn, NY 11213 | 2017-08-16 |
| Find all providers in zip 11213 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215490818 | Bialik Medical Care Pllc | Pediatrics | 144 Mayfair Dr N Fl 1, Brooklyn, NY 11234-6728 | 2019-04-10 |
| 1063983054 | Williamsburg Pediatrics | Pediatrics | 200 Wallabout St Ste 1c, Brooklyn, NY 11206-5561 | 2018-12-17 |
| 1497222137 | Pediatric Care of Newyork PC | Pediatrics | 6805 5th Avenue, Brooklyn, NY 11220-6009 | 2018-10-31 |
| 1316412315 | Zhiyou Zhang Medicine PC | Pediatrics | 8705 19th Ave # 1stf, Brooklyn, NY 11214-3813 | 2018-10-05 |
| 1285141358 | Nie Medical Office PC | Pediatrics | 5508 7th Avenue, 1st Floor, Brooklyn, NY 11220-3508 | 2018-01-10 |
| 1457882276 | Haralambos Damanakis | Pediatrics | 450 Clarkson Ave - Box 49, Brooklyn, NY 11203-2012 | 2017-03-23 |
| 1801327028 | Paul Benjamin King | Pediatrics | 186 Joralemon St Fl 4, Brooklyn, NY 11201-4326 | 2017-03-21 |
| 1205286341 | M Goldis Medical PC | Pediatrics | 103 Quentin Rd Fl 2, Suite D, Brooklyn, NY 11223-1102 | 2016-06-20 |
| 1235599952 | Y. Malina, Md, Faap, P.C. | Pediatrics | 2426 Mermaid Ave Fl 1, Brooklyn, NY 11224-2210 | 2016-02-24 |
| 1245615442 | Estefany Sanchez Mendez | Pediatrics | 374 Stockholm Street - Faculty Practice Dept, Wyckoff Professional and Medical Services, PC, Brooklyn, NY 11237 | 2015-07-29 |
| Find all providers in BROOKLYN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.