KINGSBROOK JEWISH MEDICAL CENTER (NPI# 1316112600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316112600 |
| Entity Type | Organization |
| Organization Name | KINGSBROOK JEWISH MEDICAL CENTER |
| Other Organization Name | PSYCHITARY UNIT |
| Practice Address |
585 Schenectady Ave Brooklyn NY 11203-1851 |
| Practice Telephone | 7186045532 |
| Practice Fax Number | 7186045527 |
| Mailing Telephone | 7186045000 |
| Mailing Fax Number | 7186045527 |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2015-04-13 |
| Authorized Official Name | JOHN SCHMITT (SVPF) |
| Authorized Official Telephone | 7186045000 |
| Is Organization Subpart | Y |
| Parent Organization Name | KINGSBROOK JEWISH MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | 7001033H | NY | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | NYS HOSPITAL LICENSE NUMMBER | 7001033H | 01 |
| Other Name | Type Code |
|---|---|
| Psychitary Unit | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104127224 | Kingsbrook Jewish Medical Center | Early Intervention Provider Agency | 1820 E 19th St Apt 1fl, Brooklyn, NY 11229-3559 | 2010-11-04 |
| 1669613105 | Kingsbrook Jewish Medical Center | General Acute Care Hospital | 1404 Savoy Ct, Colleyville, TX 76034-6267 | 2009-03-12 |
| 1841724713 | Kingsbrook Jewish Medical Center | General Acute Care Hospital | 421 Pulaski St, Apt. 1, Brooklyn, NY 11221-2310 | 2017-04-17 |
| 1851702815 | Kingsbrook Jewish Medical Center | General Acute Care Hospital | 585 Schenectady Ave, Brooklyn, NY 11203-1851 | 2014-05-13 |
| 1558630426 | Kingsbrook Jewish Medical Center | Clinic/Center | 585 Schenectady Ave, Brooklyn, NY 11203-1851 | 2011-12-22 |
| 1801031919 | Kingsbrook Jewish Medical Center | Physical Medicine & Rehabilitation | 585 Schenectady Ave, Brooklyn, NY 11203-1809 | 2008-12-04 |
| 1609022656 | Kingsbrook Jewish Medical Center | Internal Medicine | 585 Schenectady Ave, Brooklyn, NY 11203-1891 | 2008-08-11 |
| 1477716017 | Kingsbrook Jewish Medical Center | General Acute Care Hospital | 585 Schenectady Ave, Brooklyn, NY 11203-1809 | 2008-07-03 |
| 1013176700 | Kingsbrook Jewish Medical Center | Clinic/Center | 585 Schenectady Ave, Managed Care Dept, Brooklyn, NY 11203-1809 | 2008-06-06 |
| 1689849952 | Kingsbrook Jewish Medical Center | Clinic/Center | 585 Schenectady Ave, Brooklyn, NY 11203-1851 | 2008-04-28 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | KINGSBROOK JEWISH MEDICAL CENTER | 585 Schenectady Ave, Brooklyn, NY 11203-1822 |
| New York State Corporations | KINGSBROOK JEWISH MEDICAL CENTER | 585 Schenectady Avenue, Brooklyn, New York 11203 |
| Street Address |
585 SCHENECTADY AVE |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11203-1851 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134126311 | Sudha Narayanaswamy | Pharmacist | 585 Schenectady Ave, Brooklyn, NY 11203-1809 | 2005-07-05 |
| 1629684469 | Jenny Christina Thaung | Physician Assistant | 585 Schenectady Ave, Brooklyn, NY 11203 | 2020-09-17 |
| 1538775374 | Vickie Zhao | Physician Assistant | 585 Schenectady Ave, Brooklyn, NY 11203 | 2020-09-17 |
| 1568073385 | Afifah Maqsood | Physician Assistant | 585 Schenectady Ave, Brooklyn, NY 11203-1822 | 2020-08-14 |
| 1235749953 | Nathan Siavash Solomon | Podiatrist | 585 Schenectady Ave, Brooklyn, NY 11203-1822 | 2020-08-06 |
| 1801413752 | Darel Bouhadana | Student in an Organized Health Care Education/Training Program | 585 Schenectady Ave, Brooklyn, NY 11203 | 2020-06-26 |
| 1780208678 | Oren Hariri | Student in an Organized Health Care Education/Training Program | 585 Schenectady Ave, Brooklyn, NY 11203-1822 | 2020-06-05 |
| 1366066326 | Ella Choi | Podiatrist | 585 Schenectady Ave, Brooklyn, NY 11203-1822 | 2020-06-04 |
| 1952925950 | Mohammad Khayrul Islam | Podiatrist | 585 Schenectady Ave, Brooklyn, NY 11203-1822 | 2020-06-04 |
| 1174147375 | Ezekiel Dwek | Student in an Organized Health Care Education/Training Program | 585 Schenectady Ave, Brooklyn, NY 11203-1822 | 2020-06-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023615747 | Winnie Ming Wong | Dance Therapist | 451 Clarkson Ave R Building, Idd/mh Unit, R5west, Brooklyn, NY 11203 | 2020-10-06 |
| 1174134803 | Jermiah Jonoah Jones | Social Worker | 307 E 54th St, 3, Brooklyn, NY 11203 | 2020-08-14 |
| 1780201566 | Jesvin Jeyapaulraj | Student in an Organized Health Care Education/Training Program | 450 Clarkson Avenue, Suny Downstate, General Surgery Department, Brooklyn, NY 11203 | 2020-06-29 |
| 1881219731 | Natasha Thomas | Specialist | 140 East 52nd St Brooklyn, Apt 1r, Brooklyn, NY 11203 | 2020-06-16 |
| 1679197396 | Syed Hamza Bin Waqar | Student in an Organized Health Care Education/Training Program | 450 Clarkson Avenue, Msc 50, Suny Downstate, Brooklyn, NY 11203 | 2020-05-29 |
| 1013536846 | Isaak Rubinov | Student in an Organized Health Care Education/Training Program | 91 E 39th St, Brooklyn, NY 11203 | 2020-04-12 |
| 1932733615 | Shade Celestine | Specialist | 293 East53rd Street, Brooklyn, NY 11203 | 2020-03-03 |
| 1023656147 | Shenez Brutus | Nurse Practitioner | Suny Downstate College of Nursing, 450 Clarkson Avenue, Brooklyn, NY 11203 | 2019-12-19 |
| 1215586425 | Terry-ann Lee | Registered Nurse | 440 East 45th Street, Kings, NY 11203 | 2019-09-10 |
| 1568023828 | Mmeyeneabasi David Omede | Student in an Organized Health Care Education/Training Program | 450 Clarkson Avenue, Suny Downstate Medical Center, Brooklyn, NY 11203 | 2019-06-26 |
| Find all providers in zip 11203 | ||||
| Taxonomy Code | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407126931 | Jon Ehinger | Psychiatric Unit | 441 16th St Apt 2r, Brooklyn, NY 11215-5892 | 2011-12-30 |
| 1942413695 | Maimonides Medical Center | Psychiatric Unit | 920 48 Street, Brooklyn, NY 11219 | 2007-05-08 |
| 1508377334 | New York Community Hospital of Brooklyn Inc | Psychiatric Unit | 2525 Kings Hwy, Brooklyn, NY 11229-1705 | 2017-10-19 |
| 1467996348 | Kingsboro Psychiatric Center | Psychiatric Unit | 681 Clarkson Ave, Brooklyn, NY 11203-2125 | 2016-12-12 |
| 1528432622 | Nyu Langone Hospitals | Psychiatric Unit | 150 55th St, Brooklyn, NY 11220-2559 | 2015-11-30 |
| 1972864213 | Woodhull Hospital | Psychiatric Unit | 760 Broadway, Brooklyn, NY 11206-5317 | 2012-06-04 |
| 1992036404 | Suny Downstate Medcial Center At Lich | Psychiatric Unit | 339 Hicks St, Brooklyn, NY 11201-5509 | 2010-01-22 |
| 1710122627 | Long Island College Hospital | Psychiatric Unit | 339 Hicks St, Brooklyn, NY 11201-5509 | 2008-12-05 |
| 1588868889 | Interfaith Medical Center | Psychiatric Unit | 1545 Atlantic Ave, Brooklyn, NY 11213-1122 | 2007-06-12 |
| 1669674016 | Interfaith Medical Center | Psychiatric Unit | 1545 Atlantic Ave, Brooklyn, NY 11213-1122 | 2007-06-05 |
| 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.