BEDFORD STUYVESANT FAMILY HEALTH CENTER, INC. (NPI# 1033178561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033178561 |
| Entity Type | Organization |
| Organization Name | BEDFORD STUYVESANT FAMILY HEALTH CENTER, INC. |
| Practice Address |
1456 Fulton St Brooklyn NY 11216-2505 |
| Practice Telephone | 7186364500 |
| Practice Fax Number | 3472968308 |
| Mailing Telephone | 7186364500 |
| Mailing Fax Number | 3472968308 |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2016-03-17 |
| Authorized Official Name | NURAH JAHAN ABDUR-RAHMAN (CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 7186364500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00730483 | 05 |
| Street Address |
1456 FULTON ST |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11216-2505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558338087 | Charles Theodore Beard | Dentist | 1456 Fulton St, Bedford Stuyvesant Family Health Center, Brooklyn, NY 11216-2505 | 2006-03-03 |
| 1245845973 | Constadina Manettas | Student in an Organized Health Care Education/Training Program | 1456 Fulton St, Brooklyn, NY 11216-2505 | 2020-09-10 |
| 1043751373 | Jahangir Akhtar | Dental Hygienist | 1456 Fulton St, Brooklyn, NY 11216-2505 | 2017-03-20 |
| 1437608791 | Priya Sikerwar | Social Worker | 1456 Fulton St, Brooklyn, NY 11216-2505 | 2016-09-28 |
| 1306395058 | Bedford Stuyvesant Family Health Center | Dentist | 1456 Fulton St, Brooklyn, NY 11216-2505 | 2016-09-22 |
| 1750767570 | Emnet Berhanu | Dentist | 1456 Fulton St, Brooklyn, NY 11216-2505 | 2015-08-04 |
| 1467831032 | Barak Sered | Family Medicine | 1456 Fulton St, Brooklyn, NY 11216-2505 | 2015-05-28 |
| 1477970663 | Gina Cuneo-ramos | Nurse Practitioner | 1456 Fulton St, Bedford Stuyvesant Family Health Cente, Brooklyn, NY 11216-2505 | 2014-03-25 |
| 1972934503 | Kathleen Bernock | Registered Nurse | 1456 Fulton St, Brooklyn, NY 11216-2505 | 2013-12-08 |
| 1497993984 | Shrinkhla Agrawal | Pediatrics | 1456 Fulton St, Brooklyn, NY 11216-2505 | 2009-01-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437776960 | Alicia Jones | Optometrist | 1530 Bedford Avenue, Brooklyn, NY 11216 | 2020-06-30 |
| 1255984613 | Raushanah A. Smith | Registered Nurse | 141 Madison St., #1, Brooklyn, NY 11216 | 2019-07-24 |
| 1871073171 | Jillian N Beam | Counselor | 763-765 Nostrand Ave, Ste#1, Brooklyn, NY 11216 | 2018-08-16 |
| 1598250086 | Hope Lakeisha Garvin | Social Worker | 763-765 Nostrand Ave, Brooklyn, NY 11216 | 2018-06-27 |
| 1982192233 | Katharine Ha | Social Worker | 278 Quincy St. #4, Brooklyn, NY 11216 | 2018-04-23 |
| 1205340254 | Bed Stuy Acupuncture and Massage Therapy Pllc | Acupuncturist | 1069 Bedford Ave Storefront, Brooklyn, NY 11216 | 2017-11-29 |
| 1619497104 | Aras Occupational Therapy Pllc | Occupational Therapist | 29 Macdonough St, 4g, Brooklyn, NY 11216 | 2017-06-26 |
| 1033648621 | Yaneth Lombana | Social Worker | 1399 Pacific St. 2nd Floor, Brooklyn, NY 11216 | 2017-06-07 |
| 1922495944 | James Leroy Barry Robinson Jr. | Social Worker | 3 Macdonough St Apt 4l, Brooklyn, NY 11216 | 2015-04-16 |
| 1033539572 | Omnisleep LLC | Residential Treatment Facility, Physical Disabilities | 763- Nostrand Avenue, Omnicare Multisplecialty, Brooklyn, NY 11216 | 2014-04-23 |
| Find all providers in zip 11216 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1932682838 | Hudson River Healthcare, Inc. | Clinic/Center | 2400 Linden Boulevard, Brightpoint Health Part 822-4 Outpatient Services, Brooklyn, NY 11208-4830 | 2018-09-07 |
| 1407363559 | Southeast Mississippi Rural Health Initiative, Inc. | Clinic/Center | 215 Old Highway 49 E, Brooklyn, MS 39425-9028 | 2018-01-10 |
| 1568910545 | Oda Primary Health Care Network, Inc. | Clinic/Center | 329 Hewes St, Brooklyn, NY 11211-7474 | 2016-09-19 |
| 1104274745 | Premium Health, Inc. | Clinic/Center | 5506 15th Ave, Brooklyn, NY 11219-4301 | 2016-05-24 |
| 1477909349 | Damian Family Care Centers, Inc. | Clinic/Center | 599 Ralph Ave, Brooklyn, NY 11233 | 2016-05-10 |
| 1619366978 | Brooklyn Plaza Medical Center, Inc | Clinic/Center | 297 Myrtle Ave, Brooklyn, NY 11205-2901 | 2015-01-09 |
| 1730592403 | The Floating Hospital Inc. | Clinic/Center | 515 Blake Ave, Brooklyn, NY 11207-4502 | 2014-06-10 |
| 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.