BROOKDALE FAMILY CARE CENTER, INC. (NPI# 1629443353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629443353 |
| Entity Type | Organization |
| Organization Name | BROOKDALE FAMILY CARE CENTER, INC. |
| Practice Address |
465 New Lots Avenue At Wyona Street Bfcc New Lots Brooklyn NY 11207-6414 |
| Mailing Address |
1 Brookdale Plaza Suite 666 Brooklyn NY 11212 |
| Practice Telephone | 7182408950 |
| Mailing Telephone | 7182405811 |
| Enumeration Date | 2015-12-07 |
| Last Update Date | 2020-05-24 |
| Authorized Official Name | CHARLES SALVO (SENIOR VICE PRESIDENT) |
| Authorized Official Telephone | 7182405811 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
281467 | NY | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962459644 | Brookdale Family Care Center, Inc. | Family Medicine | 1095 Flatbush Ave, Brooklyn, NY 11226-6141 | 2006-05-28 |
| 1336263813 | Brookdale Family Care Center, Inc. | Clinic/Center | 2554 Linden Blvd, Brooklyn, NY 11208-4904 | 2007-03-19 |
| 1285758771 | Brookdale Family Care Center, Inc. | Clinic/Center | 465 New Lots Ave, Brooklyn, NY 11207-6414 | 2007-03-19 |
| 1306984091 | Brookdale Family Care Center, Inc. | Clinic/Center | 465 New Lots Ave, Brooklyn, NY 11207-6414 | 2007-02-02 |
| Street Address |
465 NEW LOTS AVENUE AT WYONA STREET BFCC NEW LOTS |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11207-6414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356817142 | Tajeet Singh | Licensed Practical Nurse | 174 East 51, Brooklyn, NY 11207 | 2018-10-18 |
| 1801306147 | Ebony Herring | Counselor | 2640 Pitkin Avenue, Brooklyn, NY 11207 | 2017-09-30 |
| 1780106153 | Ivonne Perry | Registered Nurse | 35 Mc Clancy Pl, Brooklyn, NY 11207 | 2017-07-07 |
| 1548700925 | Special Medical PC | Family Medicine | 699 B Stanley Avenue, Brooklyn, NY 11207 | 2017-03-03 |
| 1003368333 | Alison Deborah Kahler | Social Worker | 557 Pennsylvania Ave, Room 155, Icl School Based Program At Ps13, Brooklyn, NY 11207 | 2016-11-03 |
| 1942757836 | Melissa Santana | Counselor | Bushwick Child and Family Mental Health Center, 102 Pilling Street, Brooklyn, NY 11207 | 2016-09-08 |
| 1871943050 | Joan Murrell | Licensed Practical Nurse | 297 Bradford St, Brooklyn, NY 11207 | 2016-06-17 |
| 1386019321 | Marta Josephine Jablonka I | Peer Specialist | 137 Dewitt Ave, Brooklyn, NY 11207 | 2015-12-02 |
| 1962877076 | Uche Rosario Oboh | Pharmacist | Nyc Health & Hospitals Gotham Health Center, 2094 Pitkin Avenue, Brooklyn, NY 11207 | 2015-12-01 |
| 1467837997 | Dhalene Wharton | Licensed Practical Nurse | 540 Shefield Ave, Brooklyn, NY 11207 | 2015-07-27 |
| Find all providers in zip 11207 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811347404 | Wyckoff Doctors | Clinic/Center | 1419 Myrtle Avenue, Wyckoff Doctors, Brooklyn, NY 11237-4512 | 2016-06-15 |
| 1144693607 | Doral Medical and Multi Specialty Facility LLC | Clinic/Center | 1797 Pitkin Ave, Brooklyn, NY 11212-7841 | 2015-11-05 |
| 1750791877 | Quick Docs Medical, Pllc | Clinic/Center | 256 Utica Ave, Brooklyn, NY 11213-4029 | 2014-04-28 |
| 1982946877 | Forest Hills Medical & Diagnostic | Clinic/Center | 1735 Pitkin Ave, Brooklyn, NY 11212-6603 | 2013-03-19 |
| 1013293588 | Physio Logic Medicine, P.C. | Clinic/Center | 409 Fulton Street, 2nd Floor, Brooklyn, NY 11201 | 2011-10-28 |
| 1124290291 | Altair Medical, P.C. | Clinic/Center | 1115 Ocean Pkwy Ste 1, Brooklyn, NY 11230-4075 | 2008-03-29 |
| 1609048073 | Shorefront Medical Care | Clinic/Center | 2010 86th St, Brooklyn, NY 11214-3204 | 2008-03-26 |
| 1780895094 | Lyudmila Cavalier Physician PC | Clinic/Center | 9014 Flatlands Ave, Brooklyn, NY 11236-3616 | 2007-05-25 |
| 1821210402 | Crown Heights Medical, P.C. | Clinic/Center | 540 E New York Ave, Brooklyn, NY 11225-4514 | 2007-05-03 |
| 1699824524 | Gsv Pharmacy Inc | Clinic/Center | 4623 13th Ave, Brooklyn, NY 11219-2631 | 2007-01-09 |
| 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.