LUTHERAN MEDICAL CENTER (NPI# 1174627616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174627616 |
| Entity Type | Organization |
| Organization Name | LUTHERAN MEDICAL CENTER |
| Practice Address |
3414 Church Ave Brooklyn NY 11203-2714 |
| Mailing Address |
1338 E 69th St Brooklyn NY 11234-5703 |
| Practice Telephone | 7189409425 |
| Mailing Telephone | 7182511231 |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2008-06-16 |
| Authorized Official Name | MARC RICHARD HILAIRE (INTERNIST) |
| Authorized Official Telephone | 7189409425 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 224855 | NY | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679988380 | Lutheran Medical Center | Health Maintenance Organization | 305 Dominick Pont, Knoxville, TN 37934 | 2014-06-23 |
| 1851655856 | Lutheran Medical Center | General Acute Care Hospital | 2011 Kenneth Rd, Merrick, NY 11566-5508 | 2012-06-25 |
| 1497043673 | Lutheran Medical Center | General Acute Care Hospital | 150, 55th Street, Lutheran Medical Center-department of Family Medicine, Brooklyn, NY 11220 | 2011-07-21 |
| 1801126099 | Lutheran Medical Center | General Acute Care Hospital | 2409 E 23rd St, Brooklyn, NY 11235-2510 | 2010-01-11 |
| 1992812317 | Lutheran Medical Center | General Acute Care Hospital | 3414 Church Ave, Brooklyn, NY 11203-2714 | 2006-08-23 |
| 1619912052 | Lutheran Medical Center | Clinic/Center | 812 54th St, Brooklyn, NY 11220-3209 | 2006-06-19 |
| 1649527516 | Lutheran Medical Center | Dentist | 150 55th St, Dental Department, Brooklyn, NY 11220-2508 | 2012-08-10 |
| 1194002121 | Lutheran Medical Center | General Acute Care Hospital | 150 55th St, Brooklyn, NY 11220-2553 | 2011-11-04 |
| 1154644292 | Lutheran Medical Center | Clinic/Center | 150 55th St, Brooklyn, NY 11220-2559 | 2010-03-03 |
| 1558436360 | Lutheran Medical Center | Chronic Disease Hospital | 150 55th St, Brooklyn, NY 11220-2559 | 2006-11-21 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LUTHERAN MEDICAL CENTER FOUNDATION | 8300 W 38th Ave, Wheat Ridge, CO 80033-6005 |
| Colorado Business Entities | Lutheran Medical Center Foundation | 8300 West 38th Avenue, Wheat Ridge, CO 80033 |
| Street Address |
3414 CHURCH AVE |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11203-2714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992812317 | Lutheran Medical Center | General Acute Care Hospital | 3414 Church Ave, Brooklyn, NY 11203-2714 | 2006-08-23 |
| 1497379275 | Zev A Kizelnik | Student in an Organized Health Care Education/Training Program | 3414 Church Ave, Brooklyn, NY 11203-2714 | 2020-06-08 |
| 1841819190 | Abraham Kwok | Student in an Organized Health Care Education/Training Program | 3414 Church Ave, Brooklyn, NY 11203-2714 | 2020-04-15 |
| 1407319569 | Keiara Jerai Evans | Student in an Organized Health Care Education/Training Program | 3414 Church Ave, Brooklyn, NY 11203-2714 | 2019-04-07 |
| 1306326020 | Ayanna Makoonsingh-clare | Nurse Practitioner | 3414 Church Ave, Brooklyn, NY 11203-2714 | 2018-08-21 |
| 1356836936 | Kimberley Joell Mahoney | Dentist | 3414 Church Ave, Brooklyn, NY 11203-2714 | 2018-06-26 |
| 1508272964 | She Zhao | Registered Nurse | 3414 Church Ave, Brooklyn, NY 11203-2714 | 2014-07-07 |
| 1497092274 | Asia Frazier | Pediatrics | 3414 Church Ave, Brooklyn, NY 11203-2714 | 2013-01-13 |
| 1710259429 | Stevie Reynolds | Dentist | 3414 Church Ave, Brooklyn, NY 11203-2714 | 2012-01-27 |
| 1780978452 | Kelechi Ngwangwa | Pediatrics | 3414 Church Ave, Brooklyn, NY 11203-2714 | 2011-05-30 |
| Find all providers in the same location | ||||
| 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 Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649884537 | Bridge To Care Nurse Practitioner In Psychiatry PC | Clinic/Center | 3005 Church Ave, Brooklyn, NY 11226-4209 | 2020-09-08 |
| 1093328890 | Philomene Goueliani Phd | Clinic/Center | 1461 E 103rd St, Brooklyn, NY 11236-4513 | 2020-08-31 |
| 1487279238 | Nss Medical Services, Pllc | Clinic/Center | 322 Linden Blvd., Ground Floor, Brooklyn, NY 11226 | 2020-06-08 |
| 1912541061 | Ajs Brooklyn Medical Practice PC | Clinic/Center | 475 Atlantic Ave Ste 2, Brooklyn, NY 11217-4383 | 2019-11-01 |
| 1871058990 | Freedom Physical Therapy, P.C. | Clinic/Center | 350 91st St Ste 1a, Brooklyn, NY 11209-5853 | 2019-02-02 |
| 1629564950 | Brownsville Chiropractic, PC | Clinic/Center | 409 Rockaway Ave Fl 2, Brooklyn, NY 11212-5635 | 2018-07-10 |
| 1144768458 | New Solution Home Care Inc | Clinic/Center | 722 E 4th St, Brooklyn, NY 11218-5704 | 2017-02-07 |
| 1619412988 | Jpc Medical PC | Clinic/Center | 1552 Ralph Ave, Brooklyn, NY 11236-3129 | 2016-12-22 |
| 1104379593 | Wyckoff Heights Medical Center | Clinic/Center | 545 Christopher Ave, Brooklyn, NY 11212-7029 | 2016-08-02 |
| 1245695030 | Wyckoff Heights Dental Services, PC | Clinic/Center | Wyckoff Pediatric Care Center - 1411 Myrtle Avenue, Wyckoff Heights Dental Services, PC, Brooklyn, NY 11237 | 2015-12-21 |
| 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.