BROOKDALE HOSPITAL MEDICAL CENTER (NPI# 1265476907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265476907 |
| Entity Type | Organization |
| Organization Name | BROOKDALE HOSPITAL MEDICAL CENTER |
| Practice Address |
1 Brookdale Plz 2 Chc Brooklyn NY 11212-3139 |
| Mailing Address |
1 Brookdale Plz Ste 666 Brooklyn NY 11212-3198 |
| Practice Telephone | 7182405015 |
| Mailing Telephone | 7182405811 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2019-10-13 |
| Authorized Official Name | CHARLES SALVO (SENIOR VICE PRESIDENT) |
| Authorized Official Telephone | 7182405811 |
| Is Organization Subpart | Y |
| Parent Organization Name | BROOKDALE HOSPITAL MEDICAL CENTER |
| 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 | 00610013 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164630778 | Brookdale Hospital Medical Center | General Acute Care Hospital | 7 Hegeman Ave Apt 5d, Brooklyn, NY 11212-4753 | 2007-05-18 |
| 1720028772 | Brookdale Hospital Medical Center | General Acute Care Hospital | 1 Brookdale Plz Ste 666, Brooklyn, NY 11212-3139 | 2006-06-07 |
| 1770192593 | Brookdale Hospital Medical Center | Clinic/Center | 1 Brookdale Plz, Brooklyn, NY 11212-3139 | 2020-07-28 |
| 1053737502 | Brookdale Hospital Medical Center | General Acute Care Hospital | 1 Brookdale Plz, Brooklyn, NY 11212-3139 | 2014-03-07 |
| 1407989288 | Brookdale Hospital Medical Center | Psychiatric Unit | 1 Brookdale Plz, Brooklyn, NY 11212-3139 | 2007-03-13 |
| 1487787263 | Brookdale Hospital Medical Center | Clinic/Center | 1 Brookdale Plz, Brooklyn, NY 11212-3139 | 2007-03-13 |
| 1346380870 | Brookdale Hospital Medical Center | General Acute Care Hospital | 1 Brookdale Plz, Brooklyn, NY 11212-3139 | 2007-02-07 |
| 1902820335 | Brookdale Hospital Medical Center | Radiology | 1 Brookdale Plz, Bldg Chc 4th Floor, Brooklyn, NY 11212-3139 | 2006-07-27 |
| 1962451195 | Brookdale Hospital Medical Center | Emergency Medicine | 1 Brookdale Plz, Brookdale University Hospital & Medical Center, Brooklyn, NY 11212-3139 | 2006-05-06 |
| 1477546026 | Brookdale Hospital Medical Center | Clinical Medical Laboratory | 1 Brookdale Plz, Brooklyn, NY 11212-3139 | 2005-08-30 |
| Street Address |
1 BROOKDALE PLZ 2 CHC |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11212-3139 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265432868 | Steven Braha | Nuclear Medicine | 1 Brookdale Plz, Brooklyn, NY 11212-3139 | 2005-07-26 |
| 1902406234 | Christine Huynh | Student in an Organized Health Care Education/Training Program | 1 Brookdale Plz, Brooklyn, NY 11212-3139 | 2020-10-27 |
| 1043818784 | Kevin Courtney Kemp | Student in an Organized Health Care Education/Training Program | 1 Brookdale Plz, Brooklyn, NY 11212-3198 | 2020-10-14 |
| 1184221640 | Manjusha Kuraganti | Student in an Organized Health Care Education/Training Program | 1 Brookdale Plz, Brooklyn, NY 11212-3139 | 2020-10-07 |
| 1942807920 | Nancy Rizzuto | Nurse Practitioner | 1 Brookdale Plz, Brooklyn, NY 11212-3139 | 2020-10-03 |
| 1699372854 | Ann Andrasovich | Student in an Organized Health Care Education/Training Program | 1 Brookdale Plz, Brooklyn, NY 11212-3198 | 2020-10-01 |
| 1437766151 | Elena Dudorova | Student in an Organized Health Care Education/Training Program | 1 Brookdale Plz, Brooklyn, NY 11212-3139 | 2020-09-27 |
| 1972110757 | Pratichhya Khatiwada | Student in an Organized Health Care Education/Training Program | 1 Brookdale Plz, Brooklyn, NY 11212-3139 | 2020-09-25 |
| 1780290031 | Hajira Basit | Student in an Organized Health Care Education/Training Program | 1 Brookdale Plz, Brooklyn, NY 11212-3139 | 2020-09-22 |
| 1932715661 | Orzu Yuldasheva | Student in an Organized Health Care Education/Training Program | 1 Brookdale Plz, Brooklyn, NY 11212-3139 | 2020-09-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396365136 | Ama Asabea Asare | Student in an Organized Health Care Education/Training Program | Emergency Medicine, Brookdale University Hospital and M, 1 Brookdale Plaza, Brooklyn, NY 11212 | 2020-04-22 |
| 1811516560 | Amrusha Musunuru | Student in an Organized Health Care Education/Training Program | Room 222 Chc, Department of Surgical Services, The Broo, Brookdale, NY 11212 | 2020-04-13 |
| 1508414707 | Sri Lakshmi Atthota | Student in an Organized Health Care Education/Training Program | Brookdale University Hospital,room 222, Chc, One Brookdale Plaza, Brooklyn,new York, NY 11212 | 2019-08-30 |
| 1457812273 | Shane Devanand Naidoo | Student in an Organized Health Care Education/Training Program | Dept of Emergency Medicine, Brookdale Hospital Med Cntr, 1 Brookdale Plaza, Brooklyn, NY 11212 | 2019-03-26 |
| 1790262467 | Xiao Xiong You | Student in an Organized Health Care Education/Training Program | 1 Brookdale Plaza, Department of Adult Psychiatry, Brooklyn, NY 11212 | 2018-07-25 |
| 1215426143 | Danielle Levy | Counselor | 298 Hegeman Ave, Brooklyn, NY 11212 | 2018-05-07 |
| 1699298026 | Alexander Andreev | Student in an Organized Health Care Education/Training Program | 1 Brookdale Plaza, Brooklyn, Brooklyn, NY 11212 | 2017-07-18 |
| 1598288011 | Naga Venkata Divya Challa | Student in an Organized Health Care Education/Training Program | One Brookdale Plaza, 8 Chc Room 801-5, Department of Pediatrics, Brookdale University Hospital, Brooklyn, NY 11212 | 2017-07-18 |
| 1912428921 | Sadrac Edouard | Licensed Practical Nurse | 498 East 94th St, Brooklyn, NY 11212 | 2017-06-29 |
| 1023544194 | Orrett Layne | Licensed Practical Nurse | 279 East 92nd Street, Brooklyn, NY 11212 | 2017-05-10 |
| Find all providers in zip 11212 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 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 |
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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.