UNIVERSITY PHYSICIANS OF BROOKLYN, INC.


Address: 450 Clarkson Ave, Msc#80, Brooklyn, NY 11203-2012
Phone: 7186138481

UNIVERSITY PHYSICIANS OF BROOKLYN, INC. (NPI# 1104229749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104229749
Entity Type Organization
Organization Name UNIVERSITY PHYSICIANS OF BROOKLYN, INC.
Practice Address 450 Clarkson Ave
Msc#80
Brooklyn
NY 11203-2012
Practice Telephone 7186138481
Practice Fax Number 7186138498
Mailing Telephone 7186138481
Mailing Fax Number 7186138498
Enumeration Date 2014-09-26
Last Update Date 2014-09-26
Authorized Official Name MARILYN VIENTOS-SOTIRIADIS (CHIEF OPERATING OFFICER)
Authorized Official Telephone 7182702025
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 103TC2200X Psychologist
Specialization: Clinical Child & Adolescent
Behavioral Health & Social Service Providers
N 207Y00000X Otolaryngology Allopathic & Osteopathic Physicians
N 207ZP0102X Pathology
Specialization: Anatomic Pathology & Clinical Pathology
Allopathic & Osteopathic Physicians
Y 207N00000X Dermatology Allopathic & Osteopathic Physicians

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1831649177 University Physicians of Brooklyn, Inc. Anesthesiology 450 Clarkson Ave, Msc#80, Brooklyn, NY 11203-2012 2016-10-11
1831590819 University Physicians of Brooklyn, Inc. Orthopaedic Surgery 431 Beach 129th St, Belle Harbor, NY 11694-1516 2014-09-10
1619378791 University Physicians of Brooklyn, Inc. Orthopaedic Surgery 9413 Flatlands Ave, Brooklyn, NY 11236-3726 2014-09-09
1477954469 University Physicians of Brooklyn, Inc. Orthopaedic Surgery 9202 Fort Hamilton Pkwy, Brooklyn, NY 11209-7407 2014-09-09
1811303472 University Physicians of Brooklyn, Inc. Orthopaedic Surgery 710 Parkside Ave, Brooklyn, NY 11226-1508 2014-07-03
1689715476 University Physicians of Brooklyn, Inc. Psychologist 445 Lenox Rd, Suite D, Brooklyn, NY 11203-2017 2007-02-12
1366506271 University Physicians of Brooklyn, Inc. Family Medicine 450 Clarkson Ave, Brooklyn, NY 11203-2056 2006-12-22
1659328193 University Physicians of Brooklyn, Inc. Dermatology 450 Clarkson Ave, Brooklyn, NY 11203-2056 2006-05-30
1568419000 University Physicians of Brooklyn, Inc. Internal Medicine 450 Clarkson Ave, Brooklyn, NY 11203-2056 2006-05-30
1477500916 University Physicians of Brooklyn, Inc. Psychiatry & Neurology 450 Clarkson Ave, Brooklyn, NY 11203-2056 2006-05-30

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities UNIVERSITY PHYSICIANS OF BROOKLYN, INC. 450 Clarkson Ave Box 80, Brooklyn, NY 11203-2012
New York State Corporations UNIVERSITY PHYSICIANS OF BROOKLYN, INC. Center At Brooklyn Attn Pres., 450 Clarkson Ave Box 80, Brooklyn, Ny 112032068

Office Location

Street Address 450 CLARKSON AVE
MSC#80
City BROOKLYN
State NY
Zip Code 11203-2012

Providers in the same location

NPI Name Taxonomy Address Enumeration
1700888013 David Landman Internal Medicine 450 Clarkson Ave, Brooklyn, NY 11203-2056 2005-06-01
1215537345 Stephanie Galbert Nurse Practitioner 450 Clarkson Ave, Brooklyn, NY 11203-2012 2020-10-28
1972118560 Juveria Ansar Peshimam Student in an Organized Health Care Education/Training Program 450 Clarkson Ave, Brooklyn, NY 11203-2012 2020-09-10
1285248831 Khawar Nawaz Student in an Organized Health Care Education/Training Program 450 Clarkson Ave, Brooklyn, NY 11203-2012 2020-09-01
1871107458 Sneha Naidu Gade Student in an Organized Health Care Education/Training Program 450 Clarkson Ave, Brooklyn, NY 11203-2012 2020-09-01
1063025641 Vaibhaviben Solanki Student in an Organized Health Care Education/Training Program 450 Clarkson Ave, Brooklyn, NY 11203-2012 2020-08-25
1548873961 Bhesh Raj Karki Student in an Organized Health Care Education/Training Program 450 Clarkson Ave, Brooklyn, NY 11203-2012 2020-08-25
1174136717 Cyrilee Maud Thompson Student in an Organized Health Care Education/Training Program 450 Clarkson Ave, Brooklyn, NY 11203-2012 2020-08-24
1215548953 Maximillian Anderson Weigelt Student in an Organized Health Care Education/Training Program 450 Clarkson Ave, Brooklyn, NY 11203-2012 2020-08-16
1417568106 Kereisha Nicole Donegal Student in an Organized Health Care Education/Training Program 450 Clarkson Ave, Brooklyn, NY 11203-2012 2020-08-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1023615747 Winnie Ming Wong Dance Therapist 451 Clarkson Ave R Building, Idd/mh Unit, R5west, Brooklyn, NY 11203 2020-10-06
1174134803 Jermiah Jonoah Jones Social Worker 307 E 54th St, 3, Brooklyn, NY 11203 2020-08-14
1780201566 Jesvin Jeyapaulraj Student in an Organized Health Care Education/Training Program 450 Clarkson Avenue, Suny Downstate, General Surgery Department, Brooklyn, NY 11203 2020-06-29
1881219731 Natasha Thomas Specialist 140 East 52nd St Brooklyn, Apt 1r, Brooklyn, NY 11203 2020-06-16
1679197396 Syed Hamza Bin Waqar Student in an Organized Health Care Education/Training Program 450 Clarkson Avenue, Msc 50, Suny Downstate, Brooklyn, NY 11203 2020-05-29
1013536846 Isaak Rubinov Student in an Organized Health Care Education/Training Program 91 E 39th St, Brooklyn, NY 11203 2020-04-12
1932733615 Shade Celestine Specialist 293 East53rd Street, Brooklyn, NY 11203 2020-03-03
1023656147 Shenez Brutus Nurse Practitioner Suny Downstate College of Nursing, 450 Clarkson Avenue, Brooklyn, NY 11203 2019-12-19
1215586425 Terry-ann Lee Registered Nurse 440 East 45th Street, Kings, NY 11203 2019-09-10
1568023828 Mmeyeneabasi David Omede Student in an Organized Health Care Education/Training Program 450 Clarkson Avenue, Suny Downstate Medical Center, Brooklyn, NY 11203 2019-06-26
Find all providers in zip 11203

Taxonomy Information

Taxonomy Code 207N00000X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology

Taxonomy Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1144684614 Meagan Sara Keefe Dermatology 32 Court St Ste 302, Brooklyn, NY 11201-4408 2016-04-11
1215331228 Centurion Dermatology PC Dermatology 6811 Fort Hamilton Parkway, Brooklyn, NY 11219 2014-10-20
1215349394 Gladstein Medical Care PC Dermatology 1946 Coney Island Ave, Suite 3, Brooklyn, NY 11223-2329 2014-05-23
1578829198 Sameer Bashey Dermatology 387 6th Ave, Brooklyn, NY 11215-3309 2012-04-09
1588938807 Rachel Rubinstein Dermatology 1476 54th St, Brooklyn, NY 11219-4227 2012-03-05
1861775462 Daniel J Tanner Dermatology 1401 55 Street, 5b, Brooklyn, NY 11219 2011-09-21
1639485469 Aln Medical PC Dermatology 7819 Bay Pkwy, Brooklyn, NY 11214-1507 2010-08-31
1053622464 Dr Stuart R Levine Dermatology and Dermatologic Surgery PC Dermatology 1717 86 St, Brooklyn, NY 11214-2817 2010-06-30
1083934087 Karen Laura Hammerman Dermatology 2408 Ocean Ave, Brooklyn, NY 11229-3565 2010-06-02
1073740460 Irene Josephine Vergilis-kalner Dermatology 2727 Ocean Pkwy Ste L1, Brooklyn, NY 11235-7848 2009-06-12
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Competitor

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City BROOKLYN
Zip Code 11203

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Dataset Information

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.

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