BROOKLYN PLAZA MEDICAL CENTER, INC. (NPI# 1336113398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336113398 |
| Entity Type | Organization |
| Organization Name | BROOKLYN PLAZA MEDICAL CENTER, INC. |
| Practice Address |
650 Fulton St Brooklyn NY 11217-1517 |
| Practice Telephone | 7185969800 |
| Practice Fax Number | 7185969889 |
| Mailing Telephone | 7185969800 |
| Mailing Fax Number | 7185969889 |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2015-03-10 |
| Authorized Official Name | MRS. LAZETTA DUNCAN-MOORE (CEO) |
| Authorized Official Telephone | 7185969800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
7001250R | NY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HEALTH PLUS CHILD HEALTH | 204590101 | 01 | |
| FIDELIS | 40426029577 | 01 | |
| HEALTH PLUS CHILD HEALTH | 251330401 | 01 | |
| FIDELIS | 40426058486 | 01 | |
| AMERICHOICE | 000195901 | 01 | |
| HEALTH PLUS CHILD HEALTH | 27556010 | 01 | |
| HEALTH PLUS CHILD HEALTH | 275780101 | 01 | |
| FIDELIS | 40426029652 | 01 | |
| AMERICHOICE | 0000224501 | 01 | |
| AMERICHOICE | 000023004 | 01 | |
| AMERICHOICE | 010007902 | 01 | |
| GHI | 5999757 | 01 | |
| NY | 00357451 | 05 | |
| AETNA | 2361244 | 01 | |
| FIDELIS | 40426028484 | 01 | |
| AMERICHOICE | 0120218401 | 01 | |
| AMERICHOICE | 010223901 | 01 | |
| HEALTH PLUS CHILD HEALTH | 116710101 | 01 |
| Street Address |
650 FULTON ST |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11217-1517 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992367452 | Migdalia Hernandez | Counselor | 650 Fulton St, Brooklyn, NY 11217-1517 | 2019-07-05 |
| 1154985745 | Samantha Smith | Counselor | 650 Fulton St, Brooklyn, NY 11217-1517 | 2019-04-29 |
| 1669900239 | Leslie J Jackson | Social Worker | 650 Fulton St, Brooklyn, NY 11217-1517 | 2017-05-26 |
| 1447791132 | Brooklyn Plaza Medical Center | Clinic/Center | 650 Fulton St, Brooklyn, NY 11217-1517 | 2017-03-14 |
| 1225484355 | Reham A Dabiesh | Dentist | 650 Fulton St, Brooklyn, NY 11217-1517 | 2016-05-07 |
| 1417318411 | Jacqueline Pierre | Dentist | 650 Fulton St, Brooklyn, NY 11217-1517 | 2016-03-17 |
| 1366830242 | Brooklyn Plaza Medical Center, Inc | Social Worker | 650 Fulton St, Brooklyn, NY 11217-1517 | 2014-12-31 |
| 1205241155 | Nan-tsun Lai | Pediatrics | 650 Fulton St, Brooklyn, NY 11217-1517 | 2014-06-29 |
| 1952724866 | Bair Cadet | Internal Medicine | 650 Fulton St, Brooklyn, NY 11217-1517 | 2014-01-28 |
| 1215360177 | Jercienne Laurencin | Nurse Practitioner | 650 Fulton St, Brooklyn, NY 11217-1517 | 2013-08-14 |
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| 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 |
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| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1407363559 | Southeast Mississippi Rural Health Initiative, Inc. | Clinic/Center | 215 Old Highway 49 E, Brooklyn, MS 39425-9028 | 2018-01-10 |
| 1568910545 | Oda Primary Health Care Network, Inc. | Clinic/Center | 329 Hewes St, Brooklyn, NY 11211-7474 | 2016-09-19 |
| 1104274745 | Premium Health, Inc. | Clinic/Center | 5506 15th Ave, Brooklyn, NY 11219-4301 | 2016-05-24 |
| 1477909349 | Damian Family Care Centers, Inc. | Clinic/Center | 599 Ralph Ave, Brooklyn, NY 11233 | 2016-05-10 |
| 1619366978 | Brooklyn Plaza Medical Center, Inc | Clinic/Center | 297 Myrtle Ave, Brooklyn, NY 11205-2901 | 2015-01-09 |
| 1730592403 | The Floating Hospital Inc. | Clinic/Center | 515 Blake Ave, Brooklyn, NY 11207-4502 | 2014-06-10 |
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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.