SUNY HEALTH SCIENCE CENTER AT BROOKLYN (NPI# 1619275625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619275625 |
| Entity Type | Organization |
| Organization Name | SUNY HEALTH SCIENCE CENTER AT BROOKLYN |
| Other Organization Name | SUNY DMC@LICH-PEDIATRICS |
| Practice Address |
97 Amity St Brooklyn NY 11201-6004 |
| Practice Telephone | 7187801070 |
| Mailing Telephone | 7187801070 |
| Enumeration Date | 2011-03-01 |
| Last Update Date | 2013-04-04 |
| Authorized Official Name | MARILYN VIENTOS - SOTIRIADIS (COO) |
| Authorized Official Telephone | 7182702025 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 2080P0208X |
Pediatrics Specialization: Pediatric Infectious Diseases |
Allopathic & Osteopathic Physicians | ||
| N | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 2080I0007X |
Pediatrics Specialization: Clinical & Laboratory Immunology |
Allopathic & Osteopathic Physicians | ||
| N | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
Allopathic & Osteopathic Physicians | ||
| N | 2080T0002X |
Pediatrics Specialization: Medical Toxicology |
Allopathic & Osteopathic Physicians | ||
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| SUNY DMC@LICH-PEDIATRICS | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104124379 | Suny Health Science Center At Brooklyn | Urology | 339 Hicks St, Brooklyn, NY 11201-5509 | 2011-03-11 |
| 1922306190 | Suny Health Science Center At Brooklyn | Radiology | 339 Hicks St, Brooklyn, NY 11201-5509 | 2011-03-11 |
| 1386942555 | Suny Health Science Center At Brooklyn | Emergency Medicine | 339 Hicks St, Brooklyn, NY 11201-5509 | 2011-03-11 |
| 1831497007 | Suny Health Science Center At Brooklyn | Surgery | 339 Hicks St, Brooklyn, NY 11201-5509 | 2011-03-11 |
| 1023316296 | Suny Health Science Center At Brooklyn | Neurological Surgery | 339 Hicks St, Brooklyn, NY 11201-5509 | 2011-03-11 |
| 1295033462 | Suny Health Science Center At Brooklyn | Surgery | 339 Hicks St, Brooklyn, NY 11201-5509 | 2011-03-11 |
| 1477851640 | Suny Health Science Center At Brooklyn | Psychiatry & Neurology | 339 Hicks St, Brooklyn, NY 11201-5509 | 2011-03-11 |
| 1477851707 | Suny Health Science Center At Brooklyn | Otolaryngology | 134 Atlantic Ave, Brooklyn, NY 11201-5502 | 2011-03-10 |
| 1720386063 | Suny Health Science Center At Brooklyn | Rehabilitation Practitioner | 339 Hicks St, Brooklyn, NY 11201-5509 | 2011-03-10 |
| 1689972150 | Suny Health Science Center At Brooklyn | Obstetrics & Gynecology | 97 Amity St, Brooklyn, NY 11201-6004 | 2011-03-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SUNY HEALTH SCIENCE CENTER AT BROOKLYN | 450 Clarkson Ave, Brooklyn, NY 11203-2056 |
| Street Address |
97 AMITY ST |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11201-6004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881690196 | Joseph Thomas Chambers | Obstetrics & Gynecology | 97 Amity St, 3rd Floor, Brooklyn, NY 11201-6004 | 2005-06-22 |
| 1447502703 | Alan Lyle Hunt | Social Worker | 97 Amity St, 6th Floor, Brooklyn, NY 11201-6004 | 2012-10-11 |
| 1437400504 | Christina Olmo | Counselor | 97 Amity St, 6th Floor, Brooklyn, NY 11201-6004 | 2012-09-28 |
| 1154692721 | Regine Marie Lim | Genetic Counselor, MS | 97 Amity St, 3rd Floor, Room H366, Brooklyn, NY 11201-6004 | 2012-01-13 |
| 1215235783 | Suny Health Science Center At Bklyn University Hospital of Brooklyn | Orthopaedic Surgery | 97 Amity St, Brooklyn, NY 11201-6004 | 2011-03-08 |
| 1689972150 | Suny Health Science Center At Brooklyn | Obstetrics & Gynecology | 97 Amity St, Brooklyn, NY 11201-6004 | 2011-03-08 |
| 1306144878 | Suny Health Science Center At Bklyn University Hospital of Brooklyn | Psychologist | 97 Amity St, Brooklyn, NY 11201-6004 | 2011-03-08 |
| 1770881245 | Suny Health Science Center At Brooklyn | Family Medicine | 97 Amity St, Brooklyn, NY 11201-6004 | 2011-03-08 |
| 1013237551 | Meseret Meshesha Tena | Pediatrics | 97 Amity St, Brooklyn, NY 11201-6004 | 2010-06-07 |
| 1336394436 | Anita Holman | Obstetrics & Gynecology | 97 Amity St, Department of Ob/gyn, Brooklyn, NY 11201-6004 | 2008-11-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992322267 | Sohrab Singh | Student in an Organized Health Care Education/Training Program | House Staff/gme Office, 121 Dekalb Avenue, The Brooklyn Hospital Center, Brooklyn, NY 11201 | 2020-07-02 |
| 1841812880 | Tara Elizabeth Buentello | Social Worker | C/o The Brooklyn Hospital Center Boy 197, 121 Dekalb Ave, Brooklyn, NY 11201 | 2020-05-13 |
| 1760017842 | New York University | Dentist | 445 Albee Square West, Floors 4a/5a, Brooklyn, NY 11201 | 2020-03-09 |
| 1851924294 | Tbhc Medical Services PC | Clinic/Center | 514 Fulton Street, Brooklyn, NY 11201 | 2020-02-13 |
| 1962040246 | Community Health Project Inc. | Clinic/Center | 40 Flatbush Avenue Extension, Brooklyn, NY 11201 | 2019-12-17 |
| 1558908731 | Ghalab Ali Alhashidi | Pharmacist | 250 Pacific St Apt#26, Brooklyn, NY 11201 | 2019-12-05 |
| 1396394524 | Avis A Sanderson | Specialist | 1 Pierre Point Plaza, Brooklyn, NY 11201 | 2019-09-10 |
| 1316501380 | Alice Weijia Huang | Social Worker | 200 Cadman Plz W Fl 12, Brooklyn, NY 11201 | 2019-04-25 |
| 1093274474 | Wts Medical Staffing, LLC | Home Health | 195 Montague St 14th Fl, Brooklyn, NY 11201 | 2019-03-15 |
| 1366927048 | Anna House | Social Worker | 210 Joralemon Street, Third Floor, Brooklyn, NY 11201 | 2018-09-28 |
| Find all providers in zip 11201 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215490818 | Bialik Medical Care Pllc | Pediatrics | 144 Mayfair Dr N Fl 1, Brooklyn, NY 11234-6728 | 2019-04-10 |
| 1063983054 | Williamsburg Pediatrics | Pediatrics | 200 Wallabout St Ste 1c, Brooklyn, NY 11206-5561 | 2018-12-17 |
| 1497222137 | Pediatric Care of Newyork PC | Pediatrics | 6805 5th Avenue, Brooklyn, NY 11220-6009 | 2018-10-31 |
| 1316412315 | Zhiyou Zhang Medicine PC | Pediatrics | 8705 19th Ave # 1stf, Brooklyn, NY 11214-3813 | 2018-10-05 |
| 1285141358 | Nie Medical Office PC | Pediatrics | 5508 7th Avenue, 1st Floor, Brooklyn, NY 11220-3508 | 2018-01-10 |
| 1457882276 | Haralambos Damanakis | Pediatrics | 450 Clarkson Ave - Box 49, Brooklyn, NY 11203-2012 | 2017-03-23 |
| 1801327028 | Paul Benjamin King | Pediatrics | 186 Joralemon St Fl 4, Brooklyn, NY 11201-4326 | 2017-03-21 |
| 1205286341 | M Goldis Medical PC | Pediatrics | 103 Quentin Rd Fl 2, Suite D, Brooklyn, NY 11223-1102 | 2016-06-20 |
| 1235599952 | Y. Malina, Md, Faap, P.C. | Pediatrics | 2426 Mermaid Ave Fl 1, Brooklyn, NY 11224-2210 | 2016-02-24 |
| 1245615442 | Estefany Sanchez Mendez | Pediatrics | 374 Stockholm Street - Faculty Practice Dept, Wyckoff Professional and Medical Services, PC, Brooklyn, NY 11237 | 2015-07-29 |
| 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.