WYCKOFF DR. GUBERMAN WYCKOFF HEIGHTS MEDICAL CENTER (NPI# 1306228085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306228085 |
| Entity Type | Organization |
| Organization Name | WYCKOFF DR. GUBERMAN WYCKOFF HEIGHTS MEDICAL CENTER |
| Practice Address |
1488 Buschwick Ave, Apt #4c Brooklyn NY 11207 |
| Mailing Address |
1488 Bushwick Ave Apt 4c Brooklyn NY 11207-1636 |
| Practice Telephone | 8328775749 |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2015-06-18 |
| Authorized Official Name | CHRISTINE T NGUYEN (DOCTOR OF PODIATRIC MEDICINE) |
| Authorized Official Telephone | 8328775749 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282E00000X | Long Term Care Hospital | N004232 | NY | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | DR. GUBERMAN | N004232 | 01 |
| Street Address |
1488 BUSCHWICK AVE, APT #4C |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356817142 | Tajeet Singh | Licensed Practical Nurse | 174 East 51, Brooklyn, NY 11207 | 2018-10-18 |
| 1801306147 | Ebony Herring | Counselor | 2640 Pitkin Avenue, Brooklyn, NY 11207 | 2017-09-30 |
| 1780106153 | Ivonne Perry | Registered Nurse | 35 Mc Clancy Pl, Brooklyn, NY 11207 | 2017-07-07 |
| 1548700925 | Special Medical PC | Family Medicine | 699 B Stanley Avenue, Brooklyn, NY 11207 | 2017-03-03 |
| 1003368333 | Alison Deborah Kahler | Social Worker | 557 Pennsylvania Ave, Room 155, Icl School Based Program At Ps13, Brooklyn, NY 11207 | 2016-11-03 |
| 1942757836 | Melissa Santana | Counselor | Bushwick Child and Family Mental Health Center, 102 Pilling Street, Brooklyn, NY 11207 | 2016-09-08 |
| 1871943050 | Joan Murrell | Licensed Practical Nurse | 297 Bradford St, Brooklyn, NY 11207 | 2016-06-17 |
| 1386019321 | Marta Josephine Jablonka I | Peer Specialist | 137 Dewitt Ave, Brooklyn, NY 11207 | 2015-12-02 |
| 1962877076 | Uche Rosario Oboh | Pharmacist | Nyc Health & Hospitals Gotham Health Center, 2094 Pitkin Avenue, Brooklyn, NY 11207 | 2015-12-01 |
| 1467837997 | Dhalene Wharton | Licensed Practical Nurse | 540 Shefield Ave, Brooklyn, NY 11207 | 2015-07-27 |
| Find all providers in zip 11207 | ||||
| Taxonomy Code | 282E00000X |
| Grouping | Hospitals |
| Classification | Long Term Care Hospital |
| Long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions. |
| Notes: Source: American Hospital Association [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548413792 | Victory Memorial Hospital | Long Term Care Hospital | 580 80th St, Brooklyn, NY 11209-4010 | 2008-11-01 |
| 1255475588 | Victory Memorial Hospital | Long Term Care Hospital | 699 92nd Street, 6th Floor, Brooklyn, NY 11228 | 2007-02-19 |
| 1427226562 | Maimonides Medical Center | Long Term Care Hospital | 4802 10th Ave, Brooklyn, NY 11219-2916 | 2008-02-12 |
| 1447392105 | Brooklyn Children's Center | Long Term Care Hospital | 1819 Bergen St, Brooklyn, NY 11233-4513 | 2007-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912498783 | Rays of Light Companion Care Agency LLC | Long Term Care Hospital | 70 Forest Ave # 2g, Glen Cove, NY 11542 | 2018-05-28 |
| 1891236485 | Omolara Omotunde-oniwe | Long Term Care Hospital | 13720 171st St, Jamaica, NY 11434-4506 | 2017-03-15 |
| 1972047934 | Lilian M Collins | Long Term Care Hospital | 742 Bartholdi St, Bronx, NY 10467-6206 | 2016-12-10 |
| 1740734557 | Jacobi Medical Center | Long Term Care Hospital | 2265 5th Ave Apt 1b, New York, NY 10037-2051 | 2016-08-09 |
| 1104235308 | Shanti Koirala Pradhan | Long Term Care Hospital | 1955 1st Ave Apt 721, Aspen Apt 721, New York, NY 10029-6446 | 2014-08-13 |
| 1982945754 | Elena Mare Barone | Long Term Care Hospital | 56 Quincy Pl, West Islip, NY 11795-1938 | 2013-03-04 |
| 1528302494 | Kelly Mcmurray | Long Term Care Hospital | 32 Losson Garden Dr Apt 2, Cheektowaga, NY 14227-2305 | 2012-11-16 |
| 1437426905 | New York University Langone Medical Center | Long Term Care Hospital | 425 E 114th St Apt 4fw, New York, NY 10029-2357 | 2011-11-28 |
| 1952698268 | New York Hospital Queens | Long Term Care Hospital | 335 Meadowview Ave, Hewlett, NY 11557-1701 | 2011-07-07 |
| 1063716967 | Saad Thabet A Al Qahtani | Long Term Care Hospital | 525 E 68th St # 207, New York, NY 10065-4870 | 2011-01-06 |
| Find all providers with the same taxonomy | ||||
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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.