WOODHULL MEDICAL CENTER (NPI# 1225195043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225195043 |
| Entity Type | Organization |
| Organization Name | WOODHULL MEDICAL CENTER |
| Practice Address |
760 Broadway Brooklyn NY 11206-5317 |
| Mailing Address |
471 Ridge Rd Campbell Hall NY 10916-2606 |
| Practice Telephone | 7189638000 |
| Practice Fax Number | 7189635800 |
| Mailing Telephone | 7189638000 |
| Mailing Fax Number | 7189635800 |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. LUIS FERNANDEZ (RADIOLOGY CHAIR) |
| Authorized Official Telephone | 7189638000 |
| Authorized Official Credential | M. D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 007305 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922377084 | Woodhull Medical Center | General Acute Care Hospital | 16323 Mathias Ave, Jamaica, NY 11433-3926 | 2011-12-19 |
| 1427135227 | Woodhull Medical Center | General Acute Care Hospital | 16515 14th Rd, Whitestone, NY 11357-2903 | 2006-11-01 |
| 1326124306 | Woodhull Medical Center | General Acute Care Hospital | 50 W34th St, 16c1, New York, NY 10001 | 2006-10-31 |
| 1194109439 | Woodhull Medical Center | Internal Medicine | 760 Broadway, Brooklyn, NY 11206-5317 | 2015-07-16 |
| 1386946515 | Woodhull Medical Center | General Acute Care Hospital | 760 Broadway, Brooklyn, NY 11206-5317 | 2010-11-19 |
| 1619171311 | Woodhull Medical Center | General Acute Care Hospital | Woodhull Medical Center, 760 Broadway, Brooklyn, NY 11206 | 2007-06-14 |
| 1275737140 | Woodhull Medical Center | General Acute Care Hospital | 760 Broadway, Brooklyn, NY 11206-5317 | 2007-06-13 |
| 1699854406 | Woodhull Medical Center | General Acute Care Hospital | 760 Broadway, Room #3a-30, Brooklyn, NY 11206-5317 | 2006-11-03 |
| 1306922505 | Woodhull Medical Center | Audiologist | 760 Broadway, Woodhull Medical Group, Brooklyn, NY 11206 | 2006-10-31 |
| Street Address |
760 BROADWAY |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11206-5317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821093261 | Steven Gounardes | Dentist | 760 Broadway, Woodhull Medical & Mental Health Center, Brooklyn, NY 11206 | 2005-06-14 |
| 1881295350 | George Thomas Skevas | Student in an Organized Health Care Education/Training Program | 760 Broadway, Brooklyn, NY 11206-5383 | 2020-11-02 |
| 1659971752 | Corinne Elizabeth Carpenter | Student in an Organized Health Care Education/Training Program | 760 Broadway, Brooklyn, NY 11206-5317 | 2020-10-28 |
| 1467052613 | Valeria Labastida Torres | Student in an Organized Health Care Education/Training Program | 760 Broadway, Brooklyn, NY 11206-5317 | 2020-10-27 |
| 1801493507 | Sofia Murillo | Physician Assistant | 760 Broadway, Brooklyn, NY 11206-5317 | 2020-10-06 |
| 1699372565 | Micaela Austin | Internal Medicine | 760 Broadway, Brooklyn, NY 11206-5383 | 2020-10-05 |
| 1063019115 | Ammar Alwardat | Student in an Organized Health Care Education/Training Program | 760 Broadway, Brooklyn, NY 11206-5317 | 2020-10-01 |
| 1295346542 | Johanne Blount | Nurse Practitioner | 760 Broadway, Brooklyn, NY 11206-5383 | 2020-08-11 |
| 1184234056 | Syed Salman Hamid Hashmi | Student in an Organized Health Care Education/Training Program | 760 Broadway, Brooklyn, NY 11206-5317 | 2020-08-05 |
| 1316557267 | Alexandra Lukens Bennett | Social Worker | 760 Broadway, Brooklyn, NY 11206-5317 | 2020-08-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255957684 | Armyda Montoya Novoa | Student in an Organized Health Care Education/Training Program | Woodhull Medical Center, 760 Broadway, Brooklyn, NY 11206 | 2020-06-22 |
| 1528684107 | Elizabeth Nana Ama Sarporma Osei-kuffuor | Student in an Organized Health Care Education/Training Program | 760 Broadway Woodhull Hospital, Pediatrics Administration 6b23, Brooklyn, NY 11206 | 2020-06-19 |
| 1356965057 | Ishan Poudel | Student in an Organized Health Care Education/Training Program | 760 Broadway, Woodhull Medical and Mental Health Center, Gme - Room 10a216, Brooklyn, NY 11206 | 2020-05-29 |
| 1538721303 | Osarodion Osa Igbinomwanhia | Student in an Organized Health Care Education/Training Program | Woodhull Address 760 Broadway, Department of Pediatrics Room 6b23, New York, NY 11206 | 2019-07-02 |
| 1043872955 | Olajide A Sowemimo | Student in an Organized Health Care Education/Training Program | Dept of Pediatrics, Woodhull Hospital, Room 6b23, 760 Broadway, New York, NY 11206 | 2019-07-01 |
| 1184284895 | Jacqueline So | Student in an Organized Health Care Education/Training Program | 760 Broadway, Room 2c319, Brooklyn, NY 11206 | 2019-06-14 |
| 1326607722 | Nicole Chamak | Speech-Language Pathologist | Ps 141k@380, 370 Marcy Ave - Speech Dept, Brooklyn, NY 11206 | 2019-06-10 |
| 1831660356 | Sheena Erica Purcell | Registered Nurse | White Glove Community Care, Inc., 89 Barlett St, 2nd Floor, Brooklyn, NY 11206 | 2018-12-10 |
| 1922578145 | Robert A Rodriguez | Social Worker | 630 Fushing Ave, Brooklyn, NY 11206 | 2018-11-30 |
| 1346724085 | Evelyn Wreh Larbie | Licensed Practical Nurse | White Glove Community Care, 89 Bartlett Street, Brooklyn, NY 11206 | 2018-09-19 |
| Find all providers in zip 11206 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902256 | Billy Phuoctan Truong | Physician Assistant | 8832 18th Ave, Brooklyn, NY 11214-6002 | 2020-11-03 |
| 1700486560 | Jayanti Rao | Physician Assistant | 1059 Union St Apt 3g, Brooklyn, NY 11225-1268 | 2020-10-29 |
| 1376142737 | Amanda Shinall | Physician Assistant | 28 Old Fulton St Apt 4b, Brooklyn, NY 11201-6909 | 2020-10-18 |
| 1497353825 | Tsz Yan Soo | Physician Assistant | 8825 26th Ave Fl 2, Brooklyn, NY 11214-5408 | 2020-10-16 |
| 1164038907 | Emily Mai | Physician Assistant | 1956 W 9th St, Brooklyn, NY 11223-2548 | 2020-09-17 |
| 1497369342 | Krystal Renee Alexander | Physician Assistant | 2225 Ditmas Ave Apt 1a, Brooklyn, NY 11226-6993 | 2020-09-08 |
| 1578177390 | Celia Chen | Physician Assistant | 2628 E 18th St, Brooklyn, NY 11235-3659 | 2020-08-31 |
| 1669084547 | Peter Forman | Physician Assistant | 86 Saint Felix St, Brooklyn, NY 11217-3032 | 2020-08-20 |
| 1699383646 | Fabienne Mondelus | Physician Assistant | 715 E 108th St Apt 3c, Brooklyn, NY 11236-2929 | 2020-07-15 |
| 1508492729 | Esther Weitzner | Physician Assistant | 1195 E 12th St, Brooklyn, NY 11230-4811 | 2020-03-19 |
| 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.