WYCKOFF MEDICAL ASSOCIATES, PC (NPI# 1376993964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376993964 |
| Entity Type | Organization |
| Organization Name | WYCKOFF MEDICAL ASSOCIATES, PC |
| Practice Address |
374 Stockholm Street Wyckoff Medical Associates, PC Brooklyn NY 11237-4006 |
| Practice Telephone | 7189637676 |
| Mailing Telephone | 7189637676 |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2016-06-15 |
| Authorized Official Name | FRANK VUTRANO (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 7189636702 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Street Address |
374 STOCKHOLM STREET WYCKOFF MEDICAL ASSOCIATES, PC |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11237-4006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003800095 | Vijay Saaraswat | Internal Medicine | 374 Stockholm Street, Brooklyn, NY 11237-4006 | 2005-09-06 |
| 1013469196 | Sarah Yu | Psychologist | 374 Stockholm Street, Wyckoff Professional Medical Services PC, Brooklyn, NY 11237-4006 | 2016-10-25 |
| 1194173146 | Mohammad Gilani | Student in an Organized Health Care Education/Training Program | 374 Stockholm Street, Brooklyn, NY 11237 | 2016-06-01 |
| 1922480607 | Wyckoff Heights Medical Center | General Acute Care Hospital | 374 Stockholm Street, Brooklyn, NY 11237 | 2015-06-18 |
| 1770962391 | Wyckoff Pediatric Care Center | Clinic/Center | 374 Stockholm Street, Wyckoff Heights Medical Center - Faculty Practice, Brooklyn, NY 11237 | 2015-05-28 |
| 1306230701 | Wyckoff Emergency Medicine Services, PC | Physician Assistant | 374 Stockholm Street, Wyckoff Emergency Medicine Services, PC, Brooklyn, NY 11237 | 2015-03-24 |
| 1598173486 | Cuishan Wu | Student in an Organized Health Care Education/Training Program | 374 Stockholm Street, Brooklyn, NY 11237 | 2014-07-24 |
| 1699060590 | Freddie C Verzosa | Internal Medicine | 374 Stockholm Street, Wyckoff Heights Medical Center, Brooklyn, NY 10011 | 2011-06-20 |
| 1851551352 | Nelli Fromer | Internal Medicine | 374 Stockholm Street, Wyckoff Heights Medical Center, Brooklyn, NY 11237 | 2008-06-10 |
| 1568632701 | Tma, LLC | Radiology | 374 Stockholm Street, Brooklyn, NY 11237 | 2008-03-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194379644 | Giovanna Fiorella Ramirez Barbieri | Obstetrics & Gynecology | 374 Stockholm St, Brooklyn, Ny 11237, Brooklyn, NY 11237 | 2019-08-01 |
| 1013575554 | Miseon Kang | Counselor | Brooklyn Psychotherapy, 148 Wilson Ave, Brooklyn, NY 11237 | 2019-05-30 |
| 1023598943 | Kathryn Falk | Speech-Language Pathologist | Ps 376 C/o Kathryn Falk, 194 Harman Street, Brooklyn, NY 11237 | 2018-08-20 |
| 1437648870 | Dawn Tya Chapin | Student in an Organized Health Care Education/Training Program | Wyckoff Heights Medical Center, 374 Stockholm Street, Brooklyn, NY 11237 | 2018-05-01 |
| 1518410471 | Cameron Hetzler | Dentist | 374 Stockholm St., Brooklyn, NY 11237 | 2016-07-27 |
| 1215399043 | Rose R Capuz | Skilled Nursing Facility | 122 St Nicholas Avenue, Suite 2, Brooklyn, NY 11237 | 2016-03-22 |
| 1245695030 | Wyckoff Heights Dental Services, PC | Clinic/Center | Wyckoff Pediatric Care Center - 1411 Myrtle Avenue, Wyckoff Heights Dental Services, PC, Brooklyn, NY 11237 | 2015-12-21 |
| 1245615442 | Estefany Sanchez Mendez | Pediatrics | 374 Stockholm Street - Faculty Practice Dept, Wyckoff Professional and Medical Services, PC, Brooklyn, NY 11237 | 2015-07-29 |
| 1033507231 | Macarena Rufin | Counselor | 315 Wyckoff Ave., 6th Floor, Brooklyn, NY 11237 | 2014-12-23 |
| 1740691021 | Wyckoff Anesthesia and Medical Services, PC | Clinic/Center | 93-95 Wyckoff Ave, Wyckoff Anesthesia and Medical Services, PC, Brooklyn, NY 11237 | 2014-05-08 |
| Find all providers in zip 11237 | ||||
| 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 |
| 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.