MMC AT SAINT JOHN'S FAMILY SHELTER (NPI# 1154516433) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154516433 |
| Entity Type | Organization |
| Organization Name | MMC AT SAINT JOHN'S FAMILY SHELTER |
| Practice Address |
Mmc At Saint John's Family Shelter 1630 Saint John's Place Brooklyn NY 11233-4937 |
| Mailing Address |
Cmo 100 Corporate Drive Yonkers NY 10701 |
| Practice Telephone | 9143774722 |
| Mailing Telephone | 9143774722 |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2007-09-11 |
| Authorized Official Name | MICHAEL G DOWLING (DIRECTOR) |
| Authorized Official Telephone | 9143774668 |
| Is Organization Subpart | Y |
| Parent Organization Name | MONTEFIORE MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
7000006H | NY | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336333012 | Mmc At Saint John's Family Shelter | Clinic/Center | Mmc At Saint John's Family Shelter, 1630 Saint John's Place, Brooklyn, NY 11233-4937 | 2007-09-05 |
| Street Address |
MMC AT SAINT JOHN'S FAMILY SHELTER 1630 SAINT JOHN'S PLACE |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11233-4937 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336333012 | Mmc At Saint John's Family Shelter | Clinic/Center | Mmc At Saint John's Family Shelter, 1630 Saint John's Place, Brooklyn, NY 11233-4937 | 2007-09-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467066381 | Elisa Jeanne Smith | Social Worker | 1505 St. Marks Ave, Clinical Office, Brooklyn, NY 11233 | 2020-09-08 |
| 1154968493 | Jahmani Hylton | Social Worker | 451 Macon Street, Ground Floor, Brooklyn, NY 11233 | 2019-12-05 |
| 1487121935 | Kimberly Ramsay | Social Worker | 1847 Prospect Place, Basement, Brooklyn, NY 11233 | 2018-11-01 |
| 1952823874 | Valerie A Davis | Specialist | 1769 Park Place, 1a, Brooklyn, NY 11233 | 2017-07-12 |
| 1053833988 | Griselda Colmena | Case Manager/Care Coordinator | 1765 Prospect Pl, 2h, Brooklyn, NY 11233 | 2017-07-12 |
| 1316476724 | Juliana Susannah Green Peters | Registered Nurse | 887 Hancock St, Brooklyn, NY 11233 | 2017-06-08 |
| 1043744816 | Marjorie Direny | Social Worker | 23484 Atlantic Ave, Brooklyn, NY 11233 | 2017-04-18 |
| 1467999169 | Myint M Nwe | Student in an Organized Health Care Education/Training Program | #30 Kane Place, Brooklyn, New York City, NY 11233 | 2017-01-20 |
| 1053857417 | Lateefat Lawal | Case Manager/Care Coordinator | 216 Rockaway Ave, Apt 22a, Brooklyn, NY 11233 | 2017-01-10 |
| 1932659232 | Tonetta Arnold | Counselor | 1569 Prospect, 6b, Brooklyn, NY 11233 | 2016-10-11 |
| Find all providers in zip 11233 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811347404 | Wyckoff Doctors | Clinic/Center | 1419 Myrtle Avenue, Wyckoff Doctors, Brooklyn, NY 11237-4512 | 2016-06-15 |
| 1629443353 | Brookdale Family Care Center, Inc. | Clinic/Center | 465 New Lots Avenue At Wyona Street, Bfcc New Lots, Brooklyn, NY 11207-6414 | 2015-12-07 |
| 1144693607 | Doral Medical and Multi Specialty Facility LLC | Clinic/Center | 1797 Pitkin Ave, Brooklyn, NY 11212-7841 | 2015-11-05 |
| 1750791877 | Quick Docs Medical, Pllc | Clinic/Center | 256 Utica Ave, Brooklyn, NY 11213-4029 | 2014-04-28 |
| 1982946877 | Forest Hills Medical & Diagnostic | Clinic/Center | 1735 Pitkin Ave, Brooklyn, NY 11212-6603 | 2013-03-19 |
| 1013293588 | Physio Logic Medicine, P.C. | Clinic/Center | 409 Fulton Street, 2nd Floor, Brooklyn, NY 11201 | 2011-10-28 |
| 1124290291 | Altair Medical, P.C. | Clinic/Center | 1115 Ocean Pkwy Ste 1, Brooklyn, NY 11230-4075 | 2008-03-29 |
| 1609048073 | Shorefront Medical Care | Clinic/Center | 2010 86th St, Brooklyn, NY 11214-3204 | 2008-03-26 |
| 1780895094 | Lyudmila Cavalier Physician PC | Clinic/Center | 9014 Flatlands Ave, Brooklyn, NY 11236-3616 | 2007-05-25 |
| 1821210402 | Crown Heights Medical, P.C. | Clinic/Center | 540 E New York Ave, Brooklyn, NY 11225-4514 | 2007-05-03 |
| 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.