SUNY DOWNSTATE MEDICAL CENTER (NPI# 1710201512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710201512 |
| Entity Type | Organization |
| Organization Name | SUNY DOWNSTATE MEDICAL CENTER |
| Practice Address |
450 Clarkson Ave Ste D Brooklyn NY 11203-2012 |
| Mailing Address |
1345 42nd St Brooklyn NY 11219-1406 |
| Practice Telephone | 7182707337 |
| Mailing Telephone | 7186730925 |
| Enumeration Date | 2010-03-23 |
| Last Update Date | 2010-03-23 |
| Authorized Official Name | ANGELIQUE PIETERS (STAFF ASSISTANT) |
| Authorized Official Telephone | 7182703279 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC2000X |
General Acute Care Hospital Specialization: Children |
255067 | NY | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144565177 | Suny Downstate Medical Center | General Acute Care Hospital | 2 Fuschetto Ct, Farmingdale, NY 11735-4262 | 2012-12-03 |
| 1407110760 | Suny Downstate Medical Center | General Acute Care Hospital | 89 Joseph Ave, Staten Island, NY 10314-5054 | 2012-07-01 |
| 1376820100 | Suny Downstate Medical Center | General Acute Care Hospital | 450 Clarkson Ave # 1257, Brooklyn, NY 11203-2012 | 2011-11-08 |
| 1346520350 | Suny Downstate Medical Center | General Acute Care Hospital | 264 72nd St Apt 1b, Brooklyn, NY 11209-2151 | 2011-08-22 |
| 1104065689 | Suny Downstate Medical Center | General Acute Care Hospital | 1486 Dunbar Street, Farrockaway, NY 11691 | 2009-02-06 |
| 1033320601 | Suny Downstate Medical Center | General Acute Care Hospital | 450 Clarkson Ave # 1189, Brooklyn, NY 11203-2056 | 2007-05-25 |
| 1124492285 | Suny Downstate Medical Center | General Acute Care Hospital | 450 Clarkson Ave, Box 50, Brooklyn, NY 11203-2012 | 2015-11-30 |
| 1114317849 | Suny Downstate Medical Center | Chronic Disease Hospital | 450 Clarkson Ave, Brooklyn, NY 11203-2012 | 2015-02-03 |
| 1538591862 | Suny Downstate Medical Center | General Acute Care Hospital | 450 Clarkson Ave, Brooklyn, NY 11203-2012 | 2013-08-09 |
| 1689923518 | Suny Downstate Medical Center | General Acute Care Hospital | 445 Lenox Rd, Brooklyn, NY 11203 | 2012-09-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SUNY DOWNSTATE MEDICAL CENTER | 450 Clarkson Ave, Brooklyn, NY 11203-2012 |
| Street Address |
450 CLARKSON AVE STE D |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11203-2012 |
| 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 | 282NC2000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Children |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114044021 | New York Presbyterian Hospital | General Acute Care Hospital | 535 Dean St Apt 908, Brooklyn, NY 11217-2184 | 2007-03-23 |
| 1265535546 | Maimonides Children S Center | General Acute Care Hospital | 20 Bay Ridge Parkway, Brooklyn, NY 11209 | 2006-09-05 |
| 1578976395 | Ny Methodist Hospital | General Acute Care Hospital | 263 7th Ave Ste 4a, Brooklyn, NY 11215-3693 | 2014-06-09 |
| 1366854010 | Suny Hsc At Brooklyn | General Acute Care Hospital | 450 Clarkson Ave, Pediatrics, Brooklyn, NY 11203-2012 | 2014-05-29 |
| 1477971786 | Brookdale University Hospital and Medical Center | General Acute Care Hospital | 1 Brookdale Plz, Brooklyn, NY 11212-3139 | 2014-04-03 |
| 1922434216 | Suny Downstate | General Acute Care Hospital | 450 Clarkson Ave, Box 49, Brooklyn, NY 11203-2012 | 2013-09-19 |
| 1689923518 | Suny Downstate Medical Center | General Acute Care Hospital | 445 Lenox Rd, Brooklyn, NY 11203 | 2012-09-06 |
| 1336448349 | State University of New York At Downstate Medical Center | General Acute Care Hospital | 450 Clarkson Ave, Brooklyn, NY 11203 | 2011-03-17 |
| 1134341779 | Long Island Hospital | General Acute Care Hospital | 339 Hicks St, Brooklyn, NY 11201-5509 | 2007-05-03 |
| 1346305364 | Rhonda N Cambridge Phillip | General Acute Care Hospital | 451 Clarkson Ave, Brooklyn, NY 11203-2057 | 2006-12-27 |
| 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.