INTERFAITH MEDICAL CENTER (NPI# 1093047821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093047821 |
| Entity Type | Organization |
| Organization Name | INTERFAITH MEDICAL CENTER |
| Practice Address |
1545 Atlantic Ave Brooklyn NY 11213-1122 |
| Practice Telephone | 7186134000 |
| Mailing Telephone | 7186134000 |
| Enumeration Date | 2010-02-04 |
| Last Update Date | 2013-05-13 |
| Authorized Official Name | MRS. GERMAINE SHEPPARD-DURANT (FAMILY NURSE PRACTITIONER) |
| Authorized Official Telephone | 3473855191 |
| Authorized Official Credential | FNP-BC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | F335375 | NY | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265855944 | Interfaith Medical Center | Student in an Organized Health Care Education/Training Program | 10517 77th St, Fl 2, Ozone Park, NY 11417-1010 | 2014-01-30 |
| 1538338702 | Interfaith Medical Center | Community Based Residential Treatment Facility, Mental Illness | 1366 E New York Ave, Brooklyn, NY 11212-4535 | 2008-02-21 |
| 1508909987 | Interfaith Medical Center | General Acute Care Hospital | 500 Saint Marks Ave, Brooklyn, NY 11238-3710 | 2007-02-15 |
| 1487724712 | Interfaith Medical Center | General Acute Care Hospital | 1545 Atlantic Avenue, Brooklyn, NY 11213 | 2006-11-08 |
| 1255686184 | Interfaith Medical Center | Psychiatric Hospital | 1545 Atlantic Ave, Brooklyn, NY 11213-1122 | 2012-07-17 |
| 1790030641 | Interfaith Medical Center | Psychiatric Hospital | 1545 Atlantic Ave, Brooklyn, NY 11213-1122 | 2012-07-17 |
| 1235387309 | Interfaith Medical Center | Clinic/Center | 1475 Fulton St, Brooklyn, NY 11216-2506 | 2008-09-03 |
| 1588868889 | Interfaith Medical Center | Psychiatric Unit | 1545 Atlantic Ave, Brooklyn, NY 11213-1122 | 2007-06-12 |
| 1669674016 | Interfaith Medical Center | Psychiatric Unit | 1545 Atlantic Ave, Brooklyn, NY 11213-1122 | 2007-06-05 |
| 1801007893 | Interfaith Medical Center | General Acute Care Hospital | 1545 Atlantic Ave, Brooklyn, NY 11213-1122 | 2007-05-24 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | INTERFAITH MEDICAL CENTER | 1545 Atlantic Ave, Brooklyn, NY 11213-1122 |
| Street Address |
1545 ATLANTIC AVE |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11213-1122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558366575 | David R Trauber | Internal Medicine | 1545 Atlantic Ave, Brooklyn, NY 11213-1122 | 2005-06-16 |
| 1104426196 | Isaiah Jacoby Hammonds | Student in an Organized Health Care Education/Training Program | 1545 Atlantic Ave, Brooklyn, NY 11213-1122 | 2020-10-28 |
| 1376159962 | Amita Arora | Student in an Organized Health Care Education/Training Program | 1545 Atlantic Ave, Brooklyn, NY 11213-1122 | 2020-09-18 |
| 1922613389 | Amulya Lakshmi Bellamkonda | Student in an Organized Health Care Education/Training Program | 1545 Atlantic Ave, Brooklyn, NY 11213-1122 | 2020-09-12 |
| 1881208007 | Binit Aryal | Student in an Organized Health Care Education/Training Program | 1545 Atlantic Ave, Brooklyn, NY 11213-1122 | 2020-09-04 |
| 1245843499 | Pooja Kc | Student in an Organized Health Care Education/Training Program | 1545 Atlantic Ave, Brooklyn, NY 11213-1122 | 2020-08-27 |
| 1811500127 | Aakriti Shrestha | Student in an Organized Health Care Education/Training Program | 1545 Atlantic Ave, Brooklyn, NY 11213-1122 | 2020-08-26 |
| 1326651969 | Unknown Tsering Dolkar | Student in an Organized Health Care Education/Training Program | 1545 Atlantic Ave, Brooklyn, NY 11213-1122 | 2020-08-24 |
| 1063025625 | Roshan Bisural | Student in an Organized Health Care Education/Training Program | 1545 Atlantic Ave, Brooklyn, NY 11213-1122 | 2020-08-24 |
| 1306459979 | Samaj Adhikari | Student in an Organized Health Care Education/Training Program | 1545 Atlantic Ave, Brooklyn, NY 11213-1122 | 2020-08-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548885262 | Zaire Hairston | Counselor | 1625 President Street Brooklyn, Ny 11213 Apt 3a, 1625 President Street Brooklyn, Ny 11213 Apt 3a, Brooklyn, NY 11213 | 2020-06-09 |
| 1447801394 | Rron Lleshi | Physician Assistant | 1635 Union Street, Apt 1a, Brooklyn, NY 11213 | 2019-09-23 |
| 1639723174 | Jamie Zena Morris | Licensed Vocational Nurse | 1372 Sterling Pl B2, Brooklyn, NY 11213 | 2019-08-01 |
| 1073097572 | Mariia Tonkonog | Specialist | 878 Easetern Pkwy, Brooklyn, NY 11213 | 2018-09-20 |
| 1114413234 | Rimma Salganik | Social Worker | Bright Futures for The Children, 119 Schenectady Ave, Brooklyn, NY 11213 | 2018-07-02 |
| 1861980138 | Ibrahim Elkattawy | Student in an Organized Health Care Education/Training Program | 1545 Atlantic Ave # 11213, Brooklyn, NY 11213 | 2018-04-23 |
| 1528571858 | Rivkah Shuchat | Physical Therapist | Homecare, Brooklyn, NY 11213 | 2017-11-08 |
| 1356854699 | Lisa Watler | Physical Therapy Assistant | 1470 Union Street, Brooklyn, NY 11213 | 2017-11-08 |
| 1962914713 | Rockaway Ave Pharmacy Inc | Pharmacist | 226 Schenectady Ave, Brooklyn, NY 11213 | 2017-11-02 |
| 1649796152 | Janet Agbaku | Registered Nurse | 893 Eastern Parkway, Fl 2, Brooklyn, NY 11213 | 2017-08-16 |
| Find all providers in zip 11213 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760916324 | Nayab Chowhan | General Acute Care Hospital | 818 Friel Pl, Brooklyn, NY 11218-2609 | 2017-04-20 |
| 1376083378 | Department of Education | General Acute Care Hospital | 923 Elton Street, 2nd Floor, Brooklyn, NY 11208 | 2017-02-24 |
| 1528516176 | The Brookdale University Hospital and Medical Center | General Acute Care Hospital | 2274 E 14th St, 1st Floor, Brooklyn, NY 11229-4313 | 2016-09-13 |
| 1376997528 | Mariyam Abbasi | General Acute Care Hospital | 3906 Avenue P, Brooklyn, NY 11234-3502 | 2016-04-13 |
| 1588020994 | New York Presbyterian Weill Cornell | General Acute Care Hospital | 3025 Ocean Ave Apt 4b, Brooklyn, NY 11235-3421 | 2016-01-14 |
| 1548630635 | Ilana Blum | General Acute Care Hospital | 1549 Ryder St, Brooklyn, NY 11234-3505 | 2015-10-01 |
| 1609258227 | Wyckoff Heights Medical Center | General Acute Care Hospital | 987 Putnam Ave Apt 3a, Brooklyn, NY 11221-4295 | 2015-06-19 |
| 1659752459 | Wyckoff Heights Medical Center | General Acute Care Hospital | 653 Knickerbocker Ave, Apt 3r, Brooklyn, NY 11221-5040 | 2015-06-17 |
| 1972999282 | Lauren Grotell | General Acute Care Hospital | 128 Falmouth St, Brooklyn, NY 11235-3006 | 2015-04-13 |
| 1396143954 | Execu-search | General Acute Care Hospital | 1155 Pennsylvania Ave Apt 5g, Brooklyn, NY 11239-1203 | 2014-12-15 |
| Find all providers in BROOKLYN | ||||
Please comment or provide details below to improve the information on INTERFAITH MEDICAL CENTER.
| 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.