INTERFAITH MEDICAL CENTER (NPI# 1588868889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588868889 |
| Entity Type | Organization |
| Organization Name | INTERFAITH MEDICAL CENTER |
| Practice Address |
1545 Atlantic Ave Brooklyn NY 11213-1122 |
| Practice Telephone | 7186134003 |
| Practice Fax Number | 7186137110 |
| Mailing Telephone | 7186134003 |
| Mailing Fax Number | 7186137110 |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2015-09-17 |
| Authorized Official Name | MR. ROBERT MARIANI (CHIEF FANANCIAL OFFICER) |
| Authorized Official Telephone | 7186134003 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | 7001046H | NY | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00734336 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265855944 | Interfaith Medical Center | Student in an Organized Health Care Education/Training Program | 10517 77th St, Fl 2, Ozone Park, NY 11417-1010 | 2014-01-30 |
| 1538338702 | Interfaith Medical Center | Community Based Residential Treatment Facility, Mental Illness | 1366 E New York Ave, Brooklyn, NY 11212-4535 | 2008-02-21 |
| 1508909987 | Interfaith Medical Center | General Acute Care Hospital | 500 Saint Marks Ave, Brooklyn, NY 11238-3710 | 2007-02-15 |
| 1487724712 | Interfaith Medical Center | General Acute Care Hospital | 1545 Atlantic Avenue, Brooklyn, NY 11213 | 2006-11-08 |
| 1255686184 | Interfaith Medical Center | Psychiatric Hospital | 1545 Atlantic Ave, Brooklyn, NY 11213-1122 | 2012-07-17 |
| 1790030641 | Interfaith Medical Center | Psychiatric Hospital | 1545 Atlantic Ave, Brooklyn, NY 11213-1122 | 2012-07-17 |
| 1093047821 | Interfaith Medical Center | General Acute Care Hospital | 1545 Atlantic Ave, Brooklyn, NY 11213-1122 | 2010-02-04 |
| 1235387309 | Interfaith Medical Center | Clinic/Center | 1475 Fulton St, Brooklyn, NY 11216-2506 | 2008-09-03 |
| 1669674016 | Interfaith Medical Center | Psychiatric Unit | 1545 Atlantic Ave, Brooklyn, NY 11213-1122 | 2007-06-05 |
| 1801007893 | Interfaith Medical Center | General Acute Care Hospital | 1545 Atlantic Ave, Brooklyn, NY 11213-1122 | 2007-05-24 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | INTERFAITH MEDICAL CENTER | 1545 Atlantic Ave, Brooklyn, NY 11213-1122 |
| Street Address |
1545 ATLANTIC AVE |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11213-1122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558366575 | David R Trauber | Internal Medicine | 1545 Atlantic Ave, Brooklyn, NY 11213-1122 | 2005-06-16 |
| 1104426196 | Isaiah Jacoby Hammonds | Student in an Organized Health Care Education/Training Program | 1545 Atlantic Ave, Brooklyn, NY 11213-1122 | 2020-10-28 |
| 1376159962 | Amita Arora | Student in an Organized Health Care Education/Training Program | 1545 Atlantic Ave, Brooklyn, NY 11213-1122 | 2020-09-18 |
| 1922613389 | Amulya Lakshmi Bellamkonda | Student in an Organized Health Care Education/Training Program | 1545 Atlantic Ave, Brooklyn, NY 11213-1122 | 2020-09-12 |
| 1881208007 | Binit Aryal | Student in an Organized Health Care Education/Training Program | 1545 Atlantic Ave, Brooklyn, NY 11213-1122 | 2020-09-04 |
| 1245843499 | Pooja Kc | Student in an Organized Health Care Education/Training Program | 1545 Atlantic Ave, Brooklyn, NY 11213-1122 | 2020-08-27 |
| 1811500127 | Aakriti Shrestha | Student in an Organized Health Care Education/Training Program | 1545 Atlantic Ave, Brooklyn, NY 11213-1122 | 2020-08-26 |
| 1326651969 | Unknown Tsering Dolkar | Student in an Organized Health Care Education/Training Program | 1545 Atlantic Ave, Brooklyn, NY 11213-1122 | 2020-08-24 |
| 1063025625 | Roshan Bisural | Student in an Organized Health Care Education/Training Program | 1545 Atlantic Ave, Brooklyn, NY 11213-1122 | 2020-08-24 |
| 1306459979 | Samaj Adhikari | Student in an Organized Health Care Education/Training Program | 1545 Atlantic Ave, Brooklyn, NY 11213-1122 | 2020-08-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548885262 | Zaire Hairston | Counselor | 1625 President Street Brooklyn, Ny 11213 Apt 3a, 1625 President Street Brooklyn, Ny 11213 Apt 3a, Brooklyn, NY 11213 | 2020-06-09 |
| 1447801394 | Rron Lleshi | Physician Assistant | 1635 Union Street, Apt 1a, Brooklyn, NY 11213 | 2019-09-23 |
| 1639723174 | Jamie Zena Morris | Licensed Vocational Nurse | 1372 Sterling Pl B2, Brooklyn, NY 11213 | 2019-08-01 |
| 1073097572 | Mariia Tonkonog | Specialist | 878 Easetern Pkwy, Brooklyn, NY 11213 | 2018-09-20 |
| 1114413234 | Rimma Salganik | Social Worker | Bright Futures for The Children, 119 Schenectady Ave, Brooklyn, NY 11213 | 2018-07-02 |
| 1861980138 | Ibrahim Elkattawy | Student in an Organized Health Care Education/Training Program | 1545 Atlantic Ave # 11213, Brooklyn, NY 11213 | 2018-04-23 |
| 1528571858 | Rivkah Shuchat | Physical Therapist | Homecare, Brooklyn, NY 11213 | 2017-11-08 |
| 1356854699 | Lisa Watler | Physical Therapy Assistant | 1470 Union Street, Brooklyn, NY 11213 | 2017-11-08 |
| 1962914713 | Rockaway Ave Pharmacy Inc | Pharmacist | 226 Schenectady Ave, Brooklyn, NY 11213 | 2017-11-02 |
| 1649796152 | Janet Agbaku | Registered Nurse | 893 Eastern Parkway, Fl 2, Brooklyn, NY 11213 | 2017-08-16 |
| Find all providers in zip 11213 | ||||
| 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 |
| 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.