LUTHERAN MEDICAL CENTER


Address: 812 54th St, Brooklyn, NY 11220-3209
Phone: 7186862680

LUTHERAN MEDICAL CENTER (NPI# 1619912052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1619912052
Entity Type Organization
Organization Name LUTHERAN MEDICAL CENTER
Practice Address 812 54th St
Brooklyn
NY 11220-3209
Practice Telephone 7186862680
Practice Fax Number 7188710969
Enumeration Date 2006-06-19
Last Update Date 2020-08-22
Authorized Official Name DR. PAUL LEE (M.D/ATTENDING PHYSICIAN)
Authorized Official Telephone 7186862680
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2300X Clinic/Center
Specialization: Primary Care
129364 NY Ambulatory Health Care Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1679988380 Lutheran Medical Center Health Maintenance Organization 305 Dominick Pont, Knoxville, TN 37934 2014-06-23
1851655856 Lutheran Medical Center General Acute Care Hospital 2011 Kenneth Rd, Merrick, NY 11566-5508 2012-06-25
1497043673 Lutheran Medical Center General Acute Care Hospital 150, 55th Street, Lutheran Medical Center-department of Family Medicine, Brooklyn, NY 11220 2011-07-21
1801126099 Lutheran Medical Center General Acute Care Hospital 2409 E 23rd St, Brooklyn, NY 11235-2510 2010-01-11
1992812317 Lutheran Medical Center General Acute Care Hospital 3414 Church Ave, Brooklyn, NY 11203-2714 2006-08-23
1649527516 Lutheran Medical Center Dentist 150 55th St, Dental Department, Brooklyn, NY 11220-2508 2012-08-10
1194002121 Lutheran Medical Center General Acute Care Hospital 150 55th St, Brooklyn, NY 11220-2553 2011-11-04
1154644292 Lutheran Medical Center Clinic/Center 150 55th St, Brooklyn, NY 11220-2559 2010-03-03
1558436360 Lutheran Medical Center Chronic Disease Hospital 150 55th St, Brooklyn, NY 11220-2559 2006-11-21
1023182102 Lutheran Medical Center Chronic Disease Hospital 514 49th St, Brooklyn, NY 11220-2010 2006-11-20

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities LUTHERAN MEDICAL CENTER FOUNDATION 8300 W 38th Ave, Wheat Ridge, CO 80033-6005
Colorado Business Entities Lutheran Medical Center Foundation 8300 West 38th Avenue, Wheat Ridge, CO 80033

Office Location

Street Address 812 54TH ST
City BROOKLYN
State NY
Zip Code 11220-3209

Providers in the same location

NPI Name Taxonomy Address Enumeration
1538448311 Light & Love Home Community Health Worker 812 54th St, 5fl, Brooklyn, NY 11220-3268 2011-08-10

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184231797 Tingting Chen Nurse Practitioner 5618 7th Ave Brooklyn, New York, NY 11220 2020-09-28
1194345306 Laura Cafro Nurse Practitioner 150 55 Th St, Brooklyn, NY 11220 2020-04-17
1427680776 Sfc Orthodontics P.C. Dentist 738 58th St., 1st Floor, Brooklyn, NY 11220 2020-02-05
1508405689 Modern Eyes Optical LLC Technician/Technologist 5020 8th Ave, Modern Eyes Optical, Brooklyn, NY 11220 2020-01-06
1700437381 Gabriella Scaglione Dental Hygienist 5800 2nd Ave, Brooklyn, NY 11220 2019-09-24
1316597958 Labq Clinical Diagnostics LLC Dba Labq Diagnostics Clinical Medical Laboratory 140 58th St. Bldg A, Suite 3l, Brooklyn, NY 11220 2019-09-16
1578116265 Jing Li Registered Nurse 59-56 Brooklyn, Kings, NY 11220 2019-07-22
1518520675 Robert W Tan Dentist 3d Dental Implant Center, 5321 7th Avenue, Brooklyn, NY 11220 2019-04-15
1548729775 Ayah Rashwan Student in an Organized Health Care Education/Training Program Nyu Langone Health 150 55th St, Brooklyn, NY 11220 2019-03-18
1477012854 Jeffrey A Dang Physician Assistant 5517 7th Ave. #1f, Brooklyn, NY 11220 2019-03-15
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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1821601352 Xian Medical Care PC Clinic/Center 2010 Bay Ridge Pkwy, Brooklyn, NY 11204-5925 2020-08-25
1356993976 Mingzhu Medical Office, P.C. Clinic/Center 5615 7th Ave Fl 2, Brooklyn, NY 11220-3509 2019-07-13
1689197451 Citycare Medical P.C. Clinic/Center 4119 18th Ave, Brooklyn, NY 11218-5709 2017-07-24
1316472194 Aldo Alleva, Md Pllc Clinic/Center 36 Skillman Ave, Brooklyn, NY 11211-2204 2017-04-28
1275073207 K Medical Office PC Clinic/Center 7315 5th Ave, Brooklyn, NY 11209-7364 2017-02-23
1760921712 Larimar Family Np Services, Pllc Clinic/Center 173 Bay 13th St, Brooklyn, NY 11214-5805 2017-02-22
1700337524 Yunique Desire-brisard Fnp,lnc Clinic/Center 1339 E 104th St, Brooklyn, NY 11236-4507 2016-10-17
1821461898 John Hon Do Pllc Clinic/Center 831 56th St Bsmt, Brooklyn, NY 11220-3695 2015-11-12
1437528171 Flize Annevo Bryan Clinic/Center 721 E 22nd St, Brooklyn, NY 11210-1103 2015-09-23
1992188981 M&h Family Healthcare, Pllc Clinic/Center 562 E 93rd St, Brooklyn, NY 11236-1102 2015-07-08
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Competitor

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City BROOKLYN
Zip Code 11220

Improve Information

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Dataset Information

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.

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