Provider Demographics
NPI:1043419435
Name:KINDERCARE PEDIATRICS LLP
Entity Type:Organization
Organization Name:KINDERCARE PEDIATRICS LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAY
Authorized Official - Middle Name:R
Authorized Official - Last Name:BEGUN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-302-5437
Mailing Address - Street 1:18 SPENCER STREET
Mailing Address - Street 2:6TH FLOOR
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11205-1605
Mailing Address - Country:US
Mailing Address - Phone:718-302-5437
Mailing Address - Fax:718-407-7494
Practice Address - Street 1:18 SPENCER STREET
Practice Address - Street 2:6TH FLOOR
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11205-1605
Practice Address - Country:US
Practice Address - Phone:718-302-5437
Practice Address - Fax:718-407-7494
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-16
Last Update Date:2020-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty