BEDFORD STUYVESANT FAM HLTH CTR INC (NPI# 1184630634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184630634 |
| Entity Type | Organization |
| Organization Name | BEDFORD STUYVESANT FAM HLTH CTR INC |
| Other Organization Name | MONICA M SWEENEY MD |
| Practice Address |
1413 Fulton St Brooklyn NY 11216-2607 |
| Mailing Address |
300 Penn Center Blvd Ste 505 Pittsburgh PA 15235-5511 |
| Practice Telephone | 7186364500 |
| Practice Fax Number | 7186368275 |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MONICA SWEENEY (MEDICAL DIR) |
| Authorized Official Telephone | 7186364500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | 130684 | NY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 3350636 | 01 |
| Other Name | Type Code |
|---|---|
| MONICA M SWEENEY MD | Doing Business As Name - Organization |
| Street Address |
1413 FULTON ST |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11216-2607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376511733 | Luzmarina Coffey | Dentist | 1413 Fulton St, Bedford Stuyvesant Family Health Center, Brooklyn, NY 11216 | 2006-03-10 |
| 1548883754 | Charles Berry | Physical Therapist | 1413 Fulton St, Brooklyn, NY 11216-2607 | 2020-05-21 |
| 1073801700 | Tracey Mcdonald-pena | Dental Hygienist | 1413 Fulton St, Brooklyn, Brooklyn, NY 11216-2607 | 2011-07-15 |
| 1982902961 | Brenda Mcrae | Social Worker | 1413 Fulton St, Brooklyn, NY 11216-2607 | 2011-03-01 |
| 1447570551 | Josephine Pereira | Social Worker | 1413 Fulton St, Brooklyn, NY 11216-2607 | 2010-06-11 |
| 1699094896 | Lee Joseph Ross | Social Worker | 1413 Fulton St, Brooklyn, NY 11216-2607 | 2010-05-27 |
| 1851610919 | Linley Alison Smith | Social Worker | 1413 Fulton St, Brooklyn, NY 11216-2607 | 2010-05-27 |
| 1700034675 | Richard Michael Rodriguez | Pharmacist | 1413 Fulton St, Brooklyn, NY 11216-2607 | 2008-09-04 |
| 1760669261 | 1413 Fulton St Pharmacy | Pharmacy | 1413 Fulton St, Brooklyn, NY 11216-2607 | 2008-01-28 |
| 1922206366 | Florence Bonney | Physician Assistant | 1413 Fulton St, Brooklyn, NY 11216-2607 | 2007-07-06 |
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| 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 |
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| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962041426 | B & R Wholesale, LLC | Non-Pharmacy Dispensing Site | 3858 Nostrand Ave Ste 203, Brooklyn, NY 11235-2038 | 2020-01-02 |
| 1508417221 | Eyeconic Vision Brownsville Inc | Non-Pharmacy Dispensing Site | 9617 Church Ave, Brooklyn, NY 11212-2443 | 2019-09-24 |
| 1912152307 | Classic Vision | Non-Pharmacy Dispensing Site | 5314 - 18 Ave, Brooklyn, NY 11204 | 2008-11-26 |
| 1407875552 | Hematology Oncology Assoc Brooklyn | Non-Pharmacy Dispensing Site | 1660 E 14th St Ste 401-501, Brooklyn, NY 11229-1170 | 2006-07-19 |
| 1659631059 | Hematology Oncology Assoc of Brooklyn, LLP | Non-Pharmacy Dispensing Site | 1660 E 14th St Ste 401-501, Brooklyn, NY 11229-1170 | 2012-05-21 |
| 1528110145 | Perfect Gift Us Inc. | Non-Pharmacy Dispensing Site | 397 Mother Gaston Blvd, Brooklyn, NY 11212-7736 | 2007-01-16 |
| 1992711444 | Brooklyn Plaza Medical Center | Non-Pharmacy Dispensing Site | 650 Fulton St, Brooklyn, NY 11217-1517 | 2006-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588180343 | Incubizness, Inc. | Non-Pharmacy Dispensing Site | 717 Church St, Medina, NY 14103-1618 | 2017-08-14 |
| 1649722976 | Eyeconic Vision Group Inc | Non-Pharmacy Dispensing Site | 248 W 116th St, New York, NY 10026-2406 | 2016-11-03 |
| 1134585292 | Applied Sciences Edi Corp | Non-Pharmacy Dispensing Site | 3825 Bell Blvd, Bayside, NY 11361-3368 | 2016-01-05 |
| 1790168656 | Otc Mobile Stores | Non-Pharmacy Dispensing Site | 600 E 132nd St, Bronx, NY 10454-4639 | 2015-07-09 |
| 1235520271 | Allied Medical and Diagnostic Services, Dispensary | Non-Pharmacy Dispensing Site | 1410 Broadway, 23rd Floor, New York, NY 10018 | 2015-02-12 |
| 1083012348 | Add 2 Subtract LLC | Non-Pharmacy Dispensing Site | 22 Legendary Cir, Rye Brook, NY 10573-1077 | 2014-12-18 |
| 1912302233 | Performance Medical Services Pllc | Non-Pharmacy Dispensing Site | 70 E 55th St, 2nd Fl., New York, NY 10022-3222 | 2014-10-29 |
| 1346568730 | Hero Direct Inc | Non-Pharmacy Dispensing Site | 889 Waverly Ave, Holtsville, NY 11742-1109 | 2010-05-10 |
| 1669706990 | Carolina Furniture Inc | Non-Pharmacy Dispensing Site | 3115 Sheridan Dr, Amherst, NY 14226-1903 | 2009-09-18 |
| 1497935217 | B&voptical | Non-Pharmacy Dispensing Site | 98 Saint Johns Ave, Staten Island, NY 10305-3026 | 2007-11-08 |
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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.