KINGSBROOK JEWISH MEDICAL CENTER (NPI# 1558630426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558630426 |
| Entity Type | Organization |
| Organization Name | KINGSBROOK JEWISH MEDICAL CENTER |
| Practice Address |
585 Schenectady Ave Brooklyn NY 11203-1851 |
| Practice Telephone | 7186045532 |
| Practice Fax Number | 7186045536 |
| Mailing Telephone | 7186045000 |
| Mailing Fax Number | 7186045468 |
| Enumeration Date | 2011-12-22 |
| Last Update Date | 2015-04-13 |
| Authorized Official Name | JOHN SCHMITT (SVPF) |
| Authorized Official Telephone | 7186045000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
7001033H | NY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03427507 | 05 |
| 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 |
| 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 |
| 1841465218 | Kingsbrook Jewish Medical Center | Rehabilitation Unit | 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 | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
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|---|---|---|---|---|
| 1043839269 | Knickerbocker Dialysis Inc | Clinic/Center | 5518 Avenue N, Brooklyn, NY 11234-4006 | 2020-04-09 |
| 1659851442 | The Rogosin Institute Inc | Clinic/Center | 527 Court St, Brooklyn, NY 11231-4450 | 2018-08-21 |
| 1487133633 | Knickerbocker Dialysis Inc | Clinic/Center | 54 New Lots Ave, Brooklyn, NY 11212-6934 | 2018-08-08 |
| 1669959953 | Knickerbocker Dialysis Inc | Clinic/Center | 1641 E 16th St Fl 5, Brooklyn, NY 11229-1107 | 2018-07-19 |
| 1669961314 | Knickerbocker Dialysis Inc | Clinic/Center | 550 Kingston Ave, Brooklyn, NY 11203-1702 | 2018-05-08 |
| 1578063327 | Knickerbocker Dialysis Inc | Clinic/Center | 2064 Atlantic Ave, Brooklyn, NY 11233-3162 | 2018-02-19 |
| 1598264194 | Knickerbocker Dialysis Inc | Clinic/Center | 146 Meserole St, Brooklyn, NY 11206-2582 | 2018-02-08 |
| 1770027294 | Knickerbocker Dialysis Inc | Clinic/Center | 730 64th St, Brooklyn, NY 11220-4714 | 2016-12-19 |
| 1710399837 | Park Slope Dialysis Management, LLC | Clinic/Center | 672 Parkside Ave, Brooklyn, NY 11226-1506 | 2014-05-22 |
| 1982941290 | The Rogosin Institute Inc | Clinic/Center | 2372 Linden Blvd, Brooklyn, NY 11208-4821 | 2013-01-07 |
| 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.