MAIMONIDES MEDICAL CENTER (NPI# 1427263326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427263326 |
| Entity Type | Organization |
| Organization Name | MAIMONIDES MEDICAL CENTER |
| Practice Address |
4802 10th Ave Brooklyn NY 11219-2916 |
| Mailing Address |
864 49th St Apt D14 Brooklyn NY 11220-2408 |
| Practice Telephone | 7182838017 |
| Mailing Telephone | 6467851880 |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. SANTOS RIVERA JR. (ASSISTANT VICE PRESIDENT,PSYCHIATRY) |
| Authorized Official Telephone | 7182837325 |
| Authorized Official Credential | DSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | 072400 | NY | Hospital Units |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396130480 | Maimonides Medical Center | General Acute Care Hospital | 25 Gillespie St, Swoyersville, PA 18704-3005 | 2015-04-06 |
| 1518266956 | Maimonides Medical Center | General Acute Care Hospital | 168 Ardsley St, Staten Island, NY 10306-1607 | 2011-03-24 |
| 1356597256 | Maimonides Medical Center | General Acute Care Hospital | 555 Henderson Ave, Staten Island, NY 10310-1532 | 2008-08-11 |
| 1467639922 | Maimonides Medical Center | General Acute Care Hospital | 2684 West St, Apt 2d, Brooklyn, NY 11223-6455 | 2008-01-28 |
| 1770770620 | Maimonides Medical Center | Special Hospital | 199 Baltic St, Brooklyn, NY 11201-6173 | 2007-09-25 |
| 1730373234 | Maimonides Medical Center | General Acute Care Hospital | 914 48th St, Psychiatry Residency Training Department, Brooklyn, NY 11219-2918 | 2007-08-28 |
| 1992996334 | Maimonides Medical Center | Rehabilitation Hospital | 1725 Sterling Pl Apt 3b, Brooklyn, NY 11233-4520 | 2007-08-08 |
| 1942413695 | Maimonides Medical Center | Psychiatric Unit | 920 48 Street, Brooklyn, NY 11219 | 2007-05-08 |
| 1912110172 | Maimonides Medical Center | Social Worker | 920 48th Street, Brooklyn, NY 11219 | 2007-05-07 |
| 1346791845 | Maimonides Medical Center | General Acute Care Hospital | 4802 10th Ave, Department of Medicine Administration Building 301, Brooklyn, NY 11219 | 2016-10-19 |
| Street Address |
4802 10TH AVE |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11219-2916 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316943871 | Samantha Paige Jellinek | Pharmacist | 4802 10th Ave, Brooklyn, NY 11219-2844 | 2005-06-21 |
| 1730789959 | Arjun Basnet | Student in an Organized Health Care Education/Training Program | 4802 10th Ave, Brooklyn, NY 11219-2916 | 2020-10-27 |
| 1679171623 | Shehanaz Shajahan | Student in an Organized Health Care Education/Training Program | 4802 10th Ave, Brooklyn, NY 11219-2916 | 2020-10-13 |
| 1215534524 | Syed Mohammad Mazhar Uddin | Student in an Organized Health Care Education/Training Program | 4802 10th Ave, Brooklyn, NY 11219-2916 | 2020-10-08 |
| 1619581899 | Laurel Wright | Psychologist | 4802 10th Ave, Brooklyn, NY 11219-2916 | 2020-09-03 |
| 1780296749 | Rabiah Ashraf | Student in an Organized Health Care Education/Training Program | 4802 10th Ave, Brooklyn, NY 11219-2916 | 2020-08-20 |
| 1275142820 | Jenna Danae Katherine Kroeker | Student in an Organized Health Care Education/Training Program | 4802 10th Ave, Brooklyn, NY 11219-2916 | 2020-07-29 |
| 1720696347 | Jay Donald Keith | Student in an Organized Health Care Education/Training Program | 4802 10th Ave, Brooklyn, NY 11219-2916 | 2020-07-20 |
| 1003424912 | Amit Dhaliwal | Student in an Organized Health Care Education/Training Program | 4802 10th Ave, Brooklyn, NY 11219-2916 | 2020-07-16 |
| 1912515826 | Supraja Achuthanandan | Student in an Organized Health Care Education/Training Program | 4802 10th Ave, Brooklyn, NY 11219-2916 | 2020-07-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073127163 | Chava Bokchin | Registered Nurse | 6200 15th Avenue, Brooklyn, NY 11219 | 2020-09-04 |
| 1164033643 | Debbie Evadne Evans-wright | Nurse Practitioner | 979 48th Street, Brooklyn, NY 11219 | 2020-08-10 |
| 1528614559 | Jonathan Benjamin Goldstein | Specialist | Yeled Vyalda 1312 38 Street, Brooklyn, NY 11219 | 2019-08-15 |
| 1235782301 | Vanessa Walton | Social Worker | 4012 New Utrecht Avenue, Apt 1, Brooklyn, NY 11219 | 2019-07-18 |
| 1083184618 | Sandra Murray | Licensed Practical Nurse | 6321 New Utrecht Avenue Second Floor, Brooklyn, NY 11219 | 2018-11-27 |
| 1023588746 | Wanipa Muwowo-nwade | Physician Assistant | 4802 10th Ave Rm 301, Brooklyn, NY 11219 | 2018-11-26 |
| 1366919896 | Evelin Ponce | Licensed Practical Nurse | 6321 New Utrecht Avenue, Second Floor, Brooklyn, NY 11219 | 2018-11-02 |
| 1083180301 | Yefim Simkhayev | Occupational Therapist | 1317 52nd St, Brooklyn, NY 11219 | 2018-10-15 |
| 1598240186 | F & D Pharmacy Inc | Pharmacy | 5504 -13 Ave, Brooklyn, NY 11219 | 2018-09-28 |
| 1245737469 | Yekaterina Joltikov | Student in an Organized Health Care Education/Training Program | Miamonides Medical Center, 4802 10th Ave, Brooklyn, NY 11219 | 2018-04-13 |
| Find all providers in zip 11219 | ||||
| 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 |
| 1316112600 | Kingsbrook Jewish Medical Center | Psychiatric Unit | 585 Schenectady Ave, Brooklyn, NY 11203-1851 | 2008-04-28 |
| 1588868889 | Interfaith Medical Center | Psychiatric Unit | 1545 Atlantic Ave, Brooklyn, NY 11213-1122 | 2007-06-12 |
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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.