MEDICARE: KINDERCARE PEDIATRICS LLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician

General Provider Information

NPI Number	:	1043419435
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KINDERCARE PEDIATRICS LLP

Provider Business Mailing Address
First Line	:	18 SPENCER STREET
Second Line	:	6TH FLOOR
City	:	BROOKLYN
State	:	NY
Zip	:	11205-1605
Country	:	US
Telephone Number	:	718-302-5437
Fax Number	:	718-407-7494

Provider Business Practice Location Address
First Line	:	18 SPENCER STREET
Second Line	:	6TH FLOOR
City	:	BROOKLYN
State	:	NY
Zip	:	11205-1605
Country	:	US
Telephone Number	:	718-302-5437
Fax Number	:	718-407-7494

Authorized Official
Title or Position	:	OWNER
Name	:	DR. JAY R BEGUN
Credential	:	MD
Telephone Number	:	718-302-5437

Provider Enumeration Date	:	07/16/2007
Last Update Date	:	12/22/2020

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