CALEDONIAN HEALTH CENTER (NPI# 1184657355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184657355 |
| Entity Type | Organization |
| Organization Name | CALEDONIAN HEALTH CENTER |
| Practice Address |
1280 Dekalb Ave Brooklyn NY 11221-3204 |
| Mailing Address |
270 Flatbush Avenue Ext C/o Bernadette Selby, Dir. Patient Accounting Brooklyn NY 11201-3012 |
| Practice Telephone | 7184883736 |
| Mailing Telephone | 7184883736 |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2008-06-27 |
| Authorized Official Name | BERNADETTE SELBY (DIRECTOR OF PATIENT ACCOUNTING) |
| Authorized Official Telephone | 7184883736 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02461452 | 05 | |
| NY | EMPIRE BLUE CROSS | 287 | 01 |
| Street Address |
1280 DEKALB AVE |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11221-3204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255325064 | Rose Mary Ann Daniele | Nurse Practitioner | 1280 Dekalb Ave, Brooklyn, NY 11221-3204 | 2005-09-07 |
| 1982986659 | Veronica Del Carmen Gomez Gomez | Family Medicine | 1280 Dekalb Ave, Brooklyn, NY 11221-3204 | 2011-09-19 |
| 1164562336 | Toula Mylonakis | Dentist | 1280 Dekalb Ave, Brooklyn, NY 11221-3204 | 2007-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487280558 | Katherine Purtle | Speech-Language Pathologist | 995 Lafayette Ave, Garden, Brooklyn, NY 11221 | 2020-03-20 |
| 1528573078 | Magali Cruz-anselme | Registered Nurse | Ebc High School, 1155 Dekalb Ave, Brooklyn, NY 11221 | 2017-12-06 |
| 1972015220 | Faith Nicole Lawrence | Social Worker | 406 Kosciuszko Street, Brooklyn, NY 11221 | 2017-10-26 |
| 1740704311 | Tanisha Williams | Social Worker | 293 Kosciuszko Street, Brooklyn, NY 11221 | 2017-07-26 |
| 1376072504 | Jessica Danielle Rowland | Behavioral Analyst | 706 Quincy Street, Brooklyn, NY 11221 | 2017-06-10 |
| 1396274668 | Kabetha Udayan | Case Manager/Care Coordinator | 163 Van Buren Street, Brooklyn, NY 11221 | 2017-06-08 |
| 1952858581 | Nadia Khalil | Specialist | 111 Living Ton Street, Brooklyn, NY 11221 | 2016-09-01 |
| 1467905240 | Kavena Shell Foxworth | Licensed Practical Nurse | 600 Gates Avenue, Apt 6b, Brooklyn, NY 11221 | 2016-07-28 |
| 1881056919 | Diondra Edmonds | Registered Nurse | 217 Lewis Ave, 4r, Brooklyn, NY 11221 | 2016-03-28 |
| 1871953984 | Ultimate Care, Inc. | Home Health | 1000 Gates Ave, 4th Floor, Brooklyn, NY 11221 | 2016-03-02 |
| Find all providers in zip 11221 | ||||
| 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.