BIMC FACULTY PRACTICE (NPI# 1669675070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669675070 |
| Entity Type | Organization |
| Organization Name | BIMC FACULTY PRACTICE |
| Practice Address |
3201 Kings Hwy Brooklyn NY 11234-2625 |
| Mailing Address |
160 Water St 20 Floor New York NY 10038-4922 |
| Practice Telephone | 7189512845 |
| Mailing Telephone | 2122563539 |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2012-02-02 |
| Authorized Official Name | DEBORAH HACKETT (VP) |
| Authorized Official Telephone | 2122563424 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538375845 | Bimc Faculty Practice | Radiology | 1st Avenue & 16th Street, Department of Radiology, New York, NY 10003-4901 | 2007-05-15 |
| 1205102571 | Bimc Faculty Practice | Dentist | 10 Union Sq E, Suite 5b, New York, NY 10003-3314 | 2012-03-30 |
| 1285911800 | Bimc Faculty Practice | Surgery | 126 W 60th St, New York, NY 10023-7402 | 2011-11-10 |
| 1033408414 | Bimc Faculty Practice | Allergy & Immunology | 1825 Park Ave, New York, NY 10035-1641 | 2011-04-06 |
| 1023314978 | Bimc Faculty Practice | Orthopaedic Surgery | 54 South Dean Street, Englewood, NJ 07631 | 2011-02-09 |
| 1619277340 | Bimc Faculty Practice | Orthopaedic Surgery | 1408 Ocean Ave, Brooklyn, NY 11230-3814 | 2010-10-28 |
| 1356650071 | Bimc Faculty Practice | Orthopaedic Surgery | 3555 Bainbridge Ave, Bronx, NY 10467-1411 | 2010-09-29 |
| 1790093342 | Bimc Faculty Practice | Psychiatry & Neurology | 10 Union Sq E, New York, NY 10003-3314 | 2010-09-16 |
| 1740595990 | Bimc Faculty Practice | Nutritionist | 245 5th Ave, 2nd Floor, New York, NY 10016-8728 | 2010-08-12 |
| 1548594203 | Bimc Faculty Practice | Internal Medicine | 160 Water St, 20th Floor, New York, NY 10038-4922 | 2009-09-29 |
| Street Address |
3201 KINGS HWY |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11234-2625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902806425 | Frimmit L Forman | Radiology | 3201 Kings Hwy, Brooklyn, NY 11234-2625 | 2005-07-27 |
| 1245839406 | Vivian Zheng | Nurse Practitioner | 3201 Kings Hwy, Brooklyn, NY 11234-2625 | 2020-10-20 |
| 1922617588 | Simran Kaur | Physician Assistant | 3201 Kings Hwy, Brooklyn, NY 11234-2625 | 2020-07-29 |
| 1407496094 | Larissa Kuchynska | Registered Nurse | 3201 Kings Hwy, Brooklyn, NY 11234-2625 | 2020-01-10 |
| 1104462274 | Olivia Horgan | Physician Assistant | 3201 Kings Hwy, Brooklyn, NY 11234-2625 | 2019-11-22 |
| 1376191791 | Dana Tyler Medina | Physician Assistant | 3201 Kings Hwy, Brooklyn, NY 11234-2625 | 2019-08-28 |
| 1548818974 | Katie Li | Physician Assistant | 3201 Kings Hwy, Brooklyn, NY 11234-2625 | 2019-08-28 |
| 1396307054 | Luz Clotilde Lucero-calabro | Nurse Practitioner | 3201 Kings Hwy, Brooklyn, NY 11234-2625 | 2019-07-02 |
| 1184198251 | Jessica Mazile | Physician Assistant | 3201 Kings Hwy, Brooklyn, NY 11234-2625 | 2019-01-11 |
| 1639641913 | Anna Guo | Physician Assistant | 3201 Kings Hwy, Brooklyn, NY 11234-2625 | 2018-12-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861000549 | Vanessa Clouden | Counselor | 651 East 59th St, Brooklyn, NY 11234 | 2020-07-17 |
| 1467098871 | Stephan Jean-claude | Licensed Practical Nurse | 853 Est 52nd St., Kings, NY 11234 | 2019-11-20 |
| 1356983167 | Barbara Baptiste | Family Medicine | 4710 Flatlands Ave, Brooklyn, NY 11234 | 2019-10-14 |
| 1376199141 | Sabrina Boutros | Physician Assistant | 1618 East 34th Street, Brooklyn, NY 11234 | 2019-08-16 |
| 1740846252 | Angelie Dawn Banaybanay Flores | Physical Therapist | 3214 Kings Highway, Brooklyn, New York, NY 11234 | 2019-05-10 |
| 1891273033 | Diana Haughton-bennett | Nurse Practitioner | 2067 E 60th St, Brooklyn, NY 11234 | 2018-07-31 |
| 1518450030 | Eduard Galper | Technician/Technologist | 2062 E 36th St, Brooklyn, NY 11234 | 2018-06-09 |
| 1538658448 | Vanessa Lee Hernandez | Nurse Practitioner | 3201 Kings Highway-emergency Room, Brooklyn, NY 11234 | 2018-05-07 |
| 1609377126 | Keisha Batson | Behavior Technician | 1669 E 48th St, Brooklyn, NY 11234 | 2018-02-21 |
| 1598280323 | Flex Rehab Physical Therapy PC | Physical Therapist | 1950 Coleman St, Brooklyn, NY 11234 | 2017-08-14 |
| Find all providers in zip 11234 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154316230 | Peter Eliot Gordon | Emergency Medicine | 218 Baltic St, Brooklyn, NY 11201-6620 | 2005-09-15 |
| 1477115251 | Wyckoff Heights Medical Center | Emergency Medicine | 374 Stockholm St, Brooklyn, NY 11237-4006 | 2019-07-02 |
| 1831552405 | Wells Brambl | Emergency Medicine | 4802 10th Ave, Brooklyn, NY 11219-2916 | 2016-04-01 |
| 1992116701 | Ag Urgent Care, P.C. | Emergency Medicine | 1349 Broadway, 1st Floor, Brooklyn, NY 11221-3618 | 2014-05-14 |
| 1629323522 | D'artagnan Francois Hinds | Emergency Medicine | 506 6th St, Brooklyn, NY 11215-3609 | 2012-07-17 |
| 1093003501 | Samuel Ayala | Emergency Medicine | 506 6th St, Methodist Hospital Emergency Department, Brooklyn, NY 11215-3609 | 2011-07-18 |
| 1821314022 | Emergency Providers of Imc | Emergency Medicine | 1545 Atlantic Ave, Brooklyn, NY 11213-1122 | 2010-04-13 |
| 1386804318 | Markus Little | Emergency Medicine | 451 Clarkson Ave, Emergency Department, Brooklyn, NY 11203-2057 | 2008-06-12 |
| 1689871527 | Fiona Elise Barriac | Emergency Medicine | 4802 10th Ave, Brooklyn, NY 11219-2916 | 2007-07-02 |
| 1336344035 | Aisha Cupid | Emergency Medicine | 800 Poly Pl, Brooklyn, NY 11209-7104 | 2007-06-20 |
| 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.