LUTHERAN MEDICAL CENTER (NPI# 1649527516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649527516 |
| Entity Type | Organization |
| Organization Name | LUTHERAN MEDICAL CENTER |
| Other Organization Name | DENTAL |
| Practice Address |
150 55th St Dental Department Brooklyn NY 11220-2508 |
| Mailing Address |
5800 3rd Ave Managed Care Department Brooklyn NY 11220-3702 |
| Practice Telephone | 7186306875 |
| Enumeration Date | 2012-08-10 |
| Last Update Date | 2012-08-10 |
| Authorized Official Name | ASTRID GONZALEZ (SENIOR VICE PRESIDENT) |
| Authorized Official Telephone | 7186308973 |
| Is Organization Subpart | Y |
| Parent Organization Name | LUTHERAN MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| Other Name | Type Code |
|---|---|
| Dental | Other Name - Individual/Organization |
| 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 |
| 1619912052 | Lutheran Medical Center | Clinic/Center | 812 54th St, Brooklyn, NY 11220-3209 | 2006-06-19 |
| 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 |
| 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 |
| Street Address |
150 55TH ST DENTAL DEPARTMENT |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11220-2508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558364281 | Leslie Brown-aptekar | Genetic Counselor, MS | 150 55th St, Ste 5-04, Brooklyn, NY 11220-2559 | 2005-05-27 |
| 1649870528 | Diana Yakubova | Nurse Practitioner | 150 55th St, Brooklyn, NY 11220-2508 | 2020-10-29 |
| 1376142455 | Sammie Liu | Nurse Practitioner | 150 55th St, Brooklyn, NY 11220-2508 | 2020-10-20 |
| 1083213458 | Megan Nevers | Physical Therapist | 150 55th St, Brooklyn, NY 11220-2508 | 2020-10-18 |
| 1265030365 | Esther Liliane Kassin | Physical Therapist | 150 55th St, Brooklyn, NY 11220-2508 | 2020-10-12 |
| 1124625272 | Sharon Berger | Obstetrics & Gynecology | 150 55th St, Brooklyn, NY 11220-2508 | 2020-10-01 |
| 1649884644 | Christina Mikhael | Student in an Organized Health Care Education/Training Program | 150 55th St, Brooklyn, NY 11220-2508 | 2020-09-07 |
| 1285243378 | Safina Skaf | Nurse Practitioner | 150 55th St, Brooklyn, NY 11220-2508 | 2020-07-24 |
| 1184241853 | Cora-ann Oregan | Nurse Practitioner | 150 55th St, Brooklyn, NY 11220-2508 | 2020-06-29 |
| 1407471626 | Aaron Shea | Student in an Organized Health Care Education/Training Program | 150 55th St, Brooklyn, NY 11220-2508 | 2020-06-12 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 11220 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306454475 | Mighty Smiles LLC | Dentist | 837 59th St Fl 3, Brooklyn, NY 11220-3611 | 2020-07-15 |
| 1073131967 | Oraleye, Inc. | Dentist | 300 Cadman Plz W Fl 121, Brooklyn, NY 11201-3229 | 2020-07-08 |
| 1760017842 | New York University | Dentist | 445 Albee Square West, Floors 4a/5a, Brooklyn, NY 11201 | 2020-03-09 |
| 1215562491 | Magnon Reyes Dds Pllc | Dentist | 2004 Mermaid Ave, Brooklyn, NY 11224-2595 | 2020-03-08 |
| 1093348088 | Natalia Maglevannaya | Dentist | 1719 Sheepshead Bay Rd, Brooklyn, NY 11235-3606 | 2020-02-18 |
| 1558909465 | Greene Ave Dental Pllc | Dentist | 335 Greene Ave, Brooklyn, NY 11238 | 2019-12-11 |
| 1093374548 | David Zhukovsky | Dentist | 1812 Quentin Rd Ste M1, Brooklyn, NY 11229-1336 | 2019-06-09 |
| 1295390706 | Leon Tuberman | Dentist | 464 Neptune Ave Apt 12g, Brooklyn, NY 11224-4306 | 2019-05-09 |
| 1740752732 | Mark Paul Quinn I | Dentist | 1314 E 70th St, Brooklyn, NY 11234-5704 | 2019-01-02 |
| 1083109375 | Zenab Khan | Dentist | 262 56th St Unit 3, Brooklyn, NY 11220-2615 | 2018-06-28 |
| 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.