Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Boro Park Pediatric Associates, PLLC

Organization Pediatrics Physician · NPI 1063629186

Boro Park Pediatric Associates, PLLC provides Pediatrics Physician services in Brooklyn, New York. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4406 12th Ave
Brooklyn, NY 11219-2077 Not confirmed with CMS for 13 years — call before visiting
Phone: (718) 438-4400
Fax: (718) 438-4404
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1063629186
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Diamond — Ceo · (718) 438-4400
NPI enumeratedMay 17, 2007
Last updated in NPPESJuly 3, 2013
Mailing address4406 12th Ave, Brooklyn, NY 11219-2077

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