SPECIALIST PEDS AT LICH (NPI# 1922055045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922055045 |
| Entity Type | Organization |
| Organization Name | SPECIALIST PEDS AT LICH |
| Practice Address |
97 Amity St Brooklyn NY 11201-6004 |
| Mailing Address |
160 Water St 20fl New York NY 10038-4922 |
| Practice Telephone | 7187801025 |
| Mailing Telephone | 2122563682 |
| Mailing Fax Number | 2122563538 |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | STEVEN SCHWARZ (MANAGING EMPLOYEE) |
| Authorized Official Telephone | 7187801025 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 2080P0206X |
Pediatrics Specialization: Pediatric Gastroenterology |
Allopathic & Osteopathic Physicians | ||
| X | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians | ||
| X | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
Allopathic & Osteopathic Physicians | ||
| X | 2080P0207X |
Pediatrics Specialization: Pediatric Hematology-Oncology |
Allopathic & Osteopathic Physicians | ||
| X | 2080P0205X |
Pediatrics Specialization: Pediatric Endocrinology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02123191 | 05 |
| Street Address |
97 AMITY ST |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11201-6004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881690196 | Joseph Thomas Chambers | Obstetrics & Gynecology | 97 Amity St, 3rd Floor, Brooklyn, NY 11201-6004 | 2005-06-22 |
| 1447502703 | Alan Lyle Hunt | Social Worker | 97 Amity St, 6th Floor, Brooklyn, NY 11201-6004 | 2012-10-11 |
| 1437400504 | Christina Olmo | Counselor | 97 Amity St, 6th Floor, Brooklyn, NY 11201-6004 | 2012-09-28 |
| 1154692721 | Regine Marie Lim | Genetic Counselor, MS | 97 Amity St, 3rd Floor, Room H366, Brooklyn, NY 11201-6004 | 2012-01-13 |
| 1215235783 | Suny Health Science Center At Bklyn University Hospital of Brooklyn | Orthopaedic Surgery | 97 Amity St, Brooklyn, NY 11201-6004 | 2011-03-08 |
| 1689972150 | Suny Health Science Center At Brooklyn | Obstetrics & Gynecology | 97 Amity St, Brooklyn, NY 11201-6004 | 2011-03-08 |
| 1306144878 | Suny Health Science Center At Bklyn University Hospital of Brooklyn | Psychologist | 97 Amity St, Brooklyn, NY 11201-6004 | 2011-03-08 |
| 1770881245 | Suny Health Science Center At Brooklyn | Family Medicine | 97 Amity St, Brooklyn, NY 11201-6004 | 2011-03-08 |
| 1619275625 | Suny Health Science Center At Brooklyn | Pediatrics | 97 Amity St, Brooklyn, NY 11201-6004 | 2011-03-01 |
| 1013237551 | Meseret Meshesha Tena | Pediatrics | 97 Amity St, Brooklyn, NY 11201-6004 | 2010-06-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992322267 | Sohrab Singh | Student in an Organized Health Care Education/Training Program | House Staff/gme Office, 121 Dekalb Avenue, The Brooklyn Hospital Center, Brooklyn, NY 11201 | 2020-07-02 |
| 1841812880 | Tara Elizabeth Buentello | Social Worker | C/o The Brooklyn Hospital Center Boy 197, 121 Dekalb Ave, Brooklyn, NY 11201 | 2020-05-13 |
| 1760017842 | New York University | Dentist | 445 Albee Square West, Floors 4a/5a, Brooklyn, NY 11201 | 2020-03-09 |
| 1851924294 | Tbhc Medical Services PC | Clinic/Center | 514 Fulton Street, Brooklyn, NY 11201 | 2020-02-13 |
| 1962040246 | Community Health Project Inc. | Clinic/Center | 40 Flatbush Avenue Extension, Brooklyn, NY 11201 | 2019-12-17 |
| 1558908731 | Ghalab Ali Alhashidi | Pharmacist | 250 Pacific St Apt#26, Brooklyn, NY 11201 | 2019-12-05 |
| 1396394524 | Avis A Sanderson | Specialist | 1 Pierre Point Plaza, Brooklyn, NY 11201 | 2019-09-10 |
| 1316501380 | Alice Weijia Huang | Social Worker | 200 Cadman Plz W Fl 12, Brooklyn, NY 11201 | 2019-04-25 |
| 1093274474 | Wts Medical Staffing, LLC | Home Health | 195 Montague St 14th Fl, Brooklyn, NY 11201 | 2019-03-15 |
| 1366927048 | Anna House | Social Worker | 210 Joralemon Street, Third Floor, Brooklyn, NY 11201 | 2018-09-28 |
| Find all providers in zip 11201 | ||||
| Taxonomy Code | 2080P0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Gastroenterology |
| A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235404559 | Judy Rose Dayan | Pediatrics | 990 E 22nd St, Brooklyn, NY 11210-3610 | 2012-03-20 |
| 1689754772 | Yvonne Mcfarlane-ferreira | Pediatrics | 501 6th Street, East Pavilion Department of Pediatrics 5th Floor, Brooklyn, NY 11215-3689 | 2006-10-16 |
| 1184021941 | Kochin Medical PC | Pediatrics | 1321 E 7th St, Brooklyn, NY 11230-5103 | 2014-11-21 |
| 1588915201 | Emilia Shin | Pediatrics | 450 Clarkson Ave # 49, Brooklyn, NY 11203 | 2012-09-20 |
| 1447542527 | Katherine Lawson Vaidy | Pediatrics | 450 Clarkson Ave, Dept of Pediatric Gastroenterology, Brooklyn, NY 11203 | 2011-05-09 |
| 1174769319 | Jiliu Xu | Pediatrics | 445 Lenox Rd, Box 49, Brooklyn, NY 11203-2017 | 2008-12-17 |
| 1952564866 | Vivian Tang | Pediatrics | 4802 10th Ave, Maimonides Medical Center, Department of Pediatric Gi, Brooklyn, NY 11219-2916 | 2008-07-10 |
| 1871764225 | Mila Tempel | Pediatrics | 2211 Emmons Ave, Brooklyn, NY 11235-2727 | 2008-03-13 |
| 1528003985 | Narmer Fernando Galeano | Pediatrics | 948 48th St, Brooklyn, NY 11219-2918 | 2006-06-19 |
| 1881672426 | Radha Nathan | Pediatrics | 450 Clarkson Ave, Suite B4-333, Brooklyn, NY 11203-2056 | 2006-01-04 |
| 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.