MMC PEDIATRIC CRITICAL CARE FPP – NPI #1740204114
Pediatrics

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

MMC PEDIATRIC CRITICAL CARE FPP is a provider located in BROOKLYN, NY. NPPES has assigned the NPI number 1740204114 to MMC PEDIATRIC CRITICAL CARE FPP on July 27, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2080P0203X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Pediatric Critical Care Medicine

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MMC PEDIATRIC CRITICAL CARE FPP below.

NPI Profile for
MMC PEDIATRIC CRITICAL CARE FPP

NPI Number
1740204114
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MMC PEDIATRIC CRITICAL CARE FPP
Primary location
4802 10TH AVENUE
BROOKLYN, NY 11219
Phone: (718) 283-8854 Fax: (718) 635-6331
Mailing address
977 48TH STREET
ATTENTION: KATHLYN ORLANDO
BROOKLYN, NY 11219
Phone: (718) 283-8015 Fax: (718) 635-7235
Organization Subpart
No
Authorized Official
STEVEN SHELOV
CHAIRMAN, DEPARTMENT OF PEDIATRICS
Phone: (718) 283-7500
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2080P0203X
- Pediatrics / Pediatric Critical Care Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.