CENTRAL BROOKLYN MEDICAL GROUP (NPI# 1184712341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184712341 |
| Entity Type | Organization |
| Organization Name | CENTRAL BROOKLYN MEDICAL GROUP |
| Practice Address |
345 Schermerhorn St Brooklyn NY 11217-1025 |
| Practice Telephone | 7184033519 |
| Mailing Telephone | 7184033519 |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. LUCILLE MAZZA (ASST COO) |
| Authorized Official Telephone | 7184033519 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
239572 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | LIC | 239572 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821414780 | Central Brooklyn Medical Group | Health Maintenance Organization | 477 Atlantic Ave, Brooklyn, NY 11217-2981 | 2014-03-14 |
| 1962681700 | Central Brooklyn Medical Group | Internal Medicine | 200 Montague St, Brooklyn, NY 11201-3601 | 2007-10-29 |
| 1013080126 | Central Brooklyn Medical Group | Internal Medicine | 2832 Linden Blvd, Brooklyn, NY 11208-5132 | 2006-11-16 |
| Street Address |
345 SCHERMERHORN ST |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11217-1025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417910100 | Lesly Kernisant | Obstetrics & Gynecology | 345 Schermerhorn St, Downtown Center, Brooklyn, NY 11217 | 2006-04-11 |
| 1841337987 | Lisette Amedee | Physician Assistant | 345 Schermerhorn St, Brooklyn, NY 11217-1025 | 2007-01-30 |
| 1740342237 | Bratati G Majumdar | Internal Medicine | 345 Schermerhorn St, Brooklyn, NY 11217-1025 | 2006-12-14 |
| 1790853224 | Maria T Garcia | Physician Assistant | 345 Schermerhorn St, Brooklyn, NY 11217-1025 | 2006-12-01 |
| 1184642969 | Barbara E Schuh | Internal Medicine | 345 Schermerhorn St, Downtown Center, Brooklyn, NY 11217 | 2006-07-18 |
| 1245268101 | Soodabeh Haeri | Radiology | 345 Schermerhorn St, Downtown Center, Brooklyn, NY 11217-1025 | 2006-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396350195 | Northeast Orthopedic Network | Durable Medical Equipment & Medical Supplies | 41 Flatbrush Ave, Floors 1 & 2, Brooklyn, NY 11217 | 2020-09-09 |
| 1912557349 | Meisel Np In Psychiatry, Pllc | Clinic/Center | 38 8th Avenue, 1st Fl Suite 10, Brooklyn, NY 11217 | 2019-09-17 |
| 1790254084 | Jessica Levy | Social Worker | 2-4 Nevins St., Brooklyn, NY 11217 | 2018-11-16 |
| 1700353638 | Karen Gibbons | Art Therapist | 280 Nevins St., Brooklyn, NY 11217 | 2018-10-29 |
| 1396227740 | Tanvi Dodia Acupuncture Pllc | Acupuncturist | 694 Sackett Street Apt 2, Brooklyn, NY 11217 | 2018-09-02 |
| 1437680873 | Cynthia Cater | Licensed Practical Nurse | 30 3rd Avenue Apt. 847, Brooklyn, NY 11217 | 2017-03-27 |
| 1427596857 | Edg Dental PC | Dentist | 31 Eighth Avenue,suite #1, Brooklyn, NY 11217 | 2017-02-06 |
| 1437506284 | Alternative Optometry for Vision Development P.C. | Optometrist | 40 8th Avenue, Brooklyn, NY 11217 | 2016-05-23 |
| 1669856894 | Brian Lee | Podiatrist | 66 Rockwell Pl Apt 9d, Brooklyn, NY 11217 | 2015-07-17 |
| 1831579341 | Christine Lynn Viner | Student in an Organized Health Care Education/Training Program | 63a 7th Ave, Brooklyn, NY 11217 | 2015-06-01 |
| Find all providers in zip 11217 | ||||
| Taxonomy Code | 207VX0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Obstetrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962040642 | Miriam Tabak | Obstetrics & Gynecology | 1327 46th St Apt 3d, Brooklyn, NY 11219-2163 | 2019-12-13 |
| 1154687663 | Poroshat Shekarloo | Obstetrics & Gynecology | 56 Battery Ave, Brooklyn, NY 11228-3511 | 2012-04-09 |
| 1710279294 | Universal Medical of Nyc PC | Obstetrics & Gynecology | 5321 Flatlands Avenue, Brooklyn, NY 11234 | 2011-05-03 |
| 1013105527 | Nikolaos Kiouranakis | Obstetrics & Gynecology | 1012 Avenue Y, Brooklyn, NY 11235-5014 | 2007-10-09 |
| 1538176870 | Carol M Mcintosh | Obstetrics & Gynecology | 633 E 16th St, B2, Brooklyn, NY 11226-6568 | 2006-08-01 |
| 1447540281 | Armando Bernal | Obstetrics & Gynecology | 374 Stockholm St, Brooklyn, NY 11237-4006 | 2011-04-13 |
| 1750617148 | New Beginnings Perinatal Center, LLP | Obstetrics & Gynecology | 8405 Fort Hamilton Pkwy, Brooklyn, NY 11209-4805 | 2009-10-20 |
| 1013149277 | Ragin C Patel | Obstetrics & Gynecology | 450 Clarkson Ave, Brooklyn, NY 11203-2056 | 2009-08-20 |
| 1316003221 | Bruno F Casanova | Obstetrics & Gynecology | 447 Atlantic Ave, Brooklyn, NY 11217-1702 | 2006-12-28 |
| 1043309834 | Albert Ayoub | Obstetrics & Gynecology | 263 7th Ave, Suite 4c, Brooklyn, NY 11215-3689 | 2006-10-12 |
| 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.