UNIVERSITY PHYSICIANS OF BROOKLYN (NPI# 1649452814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649452814 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY PHYSICIANS OF BROOKLYN |
| Practice Address |
450 Clarkson Ave Brooklyn NY 11203-2056 |
| Mailing Address |
450 Clarkson Ave Box 1262 Brooklyn NY 11203-2056 |
| Practice Telephone | 7182703126 |
| Practice Fax Number | 7182703928 |
| Mailing Telephone | 7182707379 |
| Mailing Fax Number | 7182701794 |
| Enumeration Date | 2007-11-29 |
| Last Update Date | 2007-11-29 |
| Authorized Official Name | MS. MELISSA RIVERA (DIRECTOR, MEDICAL BOARD) |
| Authorized Official Telephone | 7182707379 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 501898 | NY | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215167713 | University Physicians of Brooklyn | Pathology | 450 Clarkson Ave, Box 59, Brooklyn, NY 11203-2056 | 2009-07-17 |
| 1881876431 | University Physicians of Brooklyn | Internal Medicine | 450 Clarkson Ave, Suite A, Brooklyn, NY 11203-2056 | 2007-12-05 |
| 1972785525 | University Physicians of Brooklyn | Internal Medicine | 450 Clarkson Ave, Suite A, Brooklyn, NY 11203-2056 | 2007-12-05 |
| 1235311887 | University Physicians of Brooklyn | Internal Medicine | 450 Clarkson Ave, Suite A, Brooklyn, NY 11203-2056 | 2007-12-05 |
| 1003098260 | University Physicians of Brooklyn | Internal Medicine | 450 Clarkson Ave, Suite A, Brooklyn, NY 11203-2056 | 2007-11-29 |
| 1730136284 | University Physicians of Brooklyn | Pathology | 450 Clarkson Ave, 4th Floor, Brooklyn, NY 11203-2056 | 2006-05-30 |
| 1124075049 | University Physicians of Brooklyn | Family Medicine | 450 Clarkson Ave, Brooklyn, NY 11203-2056 | 2006-05-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | UNIVERSITY PHYSICIANS OF BROOKLYN, INC. | 450 Clarkson Ave Box 80, Brooklyn, NY 11203-2012 |
| New York State Corporations | UNIVERSITY PHYSICIANS OF BROOKLYN, INC. | Center At Brooklyn Attn Pres., 450 Clarkson Ave Box 80, Brooklyn, Ny 112032068 |
| Street Address |
450 CLARKSON AVE |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11203-2056 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700888013 | David Landman | Internal Medicine | 450 Clarkson Ave, Brooklyn, NY 11203-2056 | 2005-06-01 |
| 1215537345 | Stephanie Galbert | Nurse Practitioner | 450 Clarkson Ave, Brooklyn, NY 11203-2012 | 2020-10-28 |
| 1972118560 | Juveria Ansar Peshimam | Student in an Organized Health Care Education/Training Program | 450 Clarkson Ave, Brooklyn, NY 11203-2012 | 2020-09-10 |
| 1285248831 | Khawar Nawaz | Student in an Organized Health Care Education/Training Program | 450 Clarkson Ave, Brooklyn, NY 11203-2012 | 2020-09-01 |
| 1871107458 | Sneha Naidu Gade | Student in an Organized Health Care Education/Training Program | 450 Clarkson Ave, Brooklyn, NY 11203-2012 | 2020-09-01 |
| 1063025641 | Vaibhaviben Solanki | Student in an Organized Health Care Education/Training Program | 450 Clarkson Ave, Brooklyn, NY 11203-2012 | 2020-08-25 |
| 1548873961 | Bhesh Raj Karki | Student in an Organized Health Care Education/Training Program | 450 Clarkson Ave, Brooklyn, NY 11203-2012 | 2020-08-25 |
| 1174136717 | Cyrilee Maud Thompson | Student in an Organized Health Care Education/Training Program | 450 Clarkson Ave, Brooklyn, NY 11203-2012 | 2020-08-24 |
| 1215548953 | Maximillian Anderson Weigelt | Student in an Organized Health Care Education/Training Program | 450 Clarkson Ave, Brooklyn, NY 11203-2012 | 2020-08-16 |
| 1417568106 | Kereisha Nicole Donegal | Student in an Organized Health Care Education/Training Program | 450 Clarkson Ave, Brooklyn, NY 11203-2012 | 2020-08-14 |
| 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 | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407133 | Johanna Varela | Registered Nurse | 451 Central Ave, Brooklyn, NY 11221-5201 | 2020-11-04 |
| 1033710462 | Alexander Galayev | Registered Nurse | 3235 Emmons Ave Apt 312, Brooklyn, NY 11235-1133 | 2020-11-03 |
| 1083214662 | Efe A Okoh | Registered Nurse | 2425 Nostrand Ave Apt 402, Brooklyn, NY 11210-4022 | 2020-10-31 |
| 1316547003 | Maria Lolita Fox | Registered Nurse | 398 Monroe St Apt 2, Brooklyn, NY 11221-6907 | 2020-10-30 |
| 1982204087 | Francisco Rosario Diaz | Registered Nurse | 264 Sullivan Pl, Brooklyn, NY 11225-2972 | 2020-10-28 |
| 1730789140 | Courtney Gibbs | Registered Nurse | 3614 Clarendon Rd, Brooklyn, NY 11203-5104 | 2020-10-27 |
| 1245830793 | Shavon Cecil Innocent | Registered Nurse | 901 Washington Ave Apt 4j, Brooklyn, NY 11225-1047 | 2020-10-26 |
| 1144829698 | Adebayo Mudashiru Lawal | Registered Nurse | 518 Kosciuszko St Apt 3l, Brooklyn, NY 11221-5665 | 2020-10-25 |
| 1457950388 | Michelle Mccoy | Registered Nurse | 11 Mckeever Pl Apt 5a, Brooklyn, NY 11225-2553 | 2020-10-21 |
| 1972102929 | Svetlana Voronok | Registered Nurse | 2812 E 27th St Apt 1b, Brooklyn, NY 11235-2258 | 2020-10-21 |
| 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.