WYCKOFF PEDIATRIC CARE CENTER (NPI# 1770962391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770962391 |
| Entity Type | Organization |
| Organization Name | WYCKOFF PEDIATRIC CARE CENTER |
| Practice Address |
374 Stockholm Street Wyckoff Heights Medical Center - Faculty Practice Brooklyn NY 11237 |
| Mailing Address |
1411 Myrtle Avenue Wyckoff Pediatric Care Center Brooklyn NY 11237 |
| Practice Telephone | 7189637272 |
| Mailing Telephone | 7189074301 |
| Mailing Fax Number | 7189191309 |
| Enumeration Date | 2015-05-28 |
| Last Update Date | 2015-05-28 |
| Authorized Official Name | MR. FRANK VUTRANO (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 7189636702 |
| Is Organization Subpart | Y |
| Parent Organization Name | WYCKOFF PROFESSIONAL MEDICAL SERVICES PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03722025 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972926814 | Wyckoff Pediatric Care Center | Pediatrics | 1411 Myrtle Ave, 1411 Myrtle Avenue, Brooklyn, NY 11237-4512 | 2014-01-29 |
| Street Address |
374 STOCKHOLM STREET WYCKOFF HEIGHTS MEDICAL CENTER - FACULTY PRACTICE |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11237 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003800095 | Vijay Saaraswat | Internal Medicine | 374 Stockholm Street, Brooklyn, NY 11237-4006 | 2005-09-06 |
| 1013469196 | Sarah Yu | Psychologist | 374 Stockholm Street, Wyckoff Professional Medical Services PC, Brooklyn, NY 11237-4006 | 2016-10-25 |
| 1376993964 | Wyckoff Medical Associates, PC | Clinic/Center | 374 Stockholm Street, Wyckoff Medical Associates, PC, Brooklyn, NY 11237-4006 | 2016-06-15 |
| 1194173146 | Mohammad Gilani | Student in an Organized Health Care Education/Training Program | 374 Stockholm Street, Brooklyn, NY 11237 | 2016-06-01 |
| 1922480607 | Wyckoff Heights Medical Center | General Acute Care Hospital | 374 Stockholm Street, Brooklyn, NY 11237 | 2015-06-18 |
| 1306230701 | Wyckoff Emergency Medicine Services, PC | Physician Assistant | 374 Stockholm Street, Wyckoff Emergency Medicine Services, PC, Brooklyn, NY 11237 | 2015-03-24 |
| 1598173486 | Cuishan Wu | Student in an Organized Health Care Education/Training Program | 374 Stockholm Street, Brooklyn, NY 11237 | 2014-07-24 |
| 1699060590 | Freddie C Verzosa | Internal Medicine | 374 Stockholm Street, Wyckoff Heights Medical Center, Brooklyn, NY 10011 | 2011-06-20 |
| 1851551352 | Nelli Fromer | Internal Medicine | 374 Stockholm Street, Wyckoff Heights Medical Center, Brooklyn, NY 11237 | 2008-06-10 |
| 1568632701 | Tma, LLC | Radiology | 374 Stockholm Street, Brooklyn, NY 11237 | 2008-03-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194379644 | Giovanna Fiorella Ramirez Barbieri | Obstetrics & Gynecology | 374 Stockholm St, Brooklyn, Ny 11237, Brooklyn, NY 11237 | 2019-08-01 |
| 1013575554 | Miseon Kang | Counselor | Brooklyn Psychotherapy, 148 Wilson Ave, Brooklyn, NY 11237 | 2019-05-30 |
| 1023598943 | Kathryn Falk | Speech-Language Pathologist | Ps 376 C/o Kathryn Falk, 194 Harman Street, Brooklyn, NY 11237 | 2018-08-20 |
| 1437648870 | Dawn Tya Chapin | Student in an Organized Health Care Education/Training Program | Wyckoff Heights Medical Center, 374 Stockholm Street, Brooklyn, NY 11237 | 2018-05-01 |
| 1518410471 | Cameron Hetzler | Dentist | 374 Stockholm St., Brooklyn, NY 11237 | 2016-07-27 |
| 1215399043 | Rose R Capuz | Skilled Nursing Facility | 122 St Nicholas Avenue, Suite 2, Brooklyn, NY 11237 | 2016-03-22 |
| 1245695030 | Wyckoff Heights Dental Services, PC | Clinic/Center | Wyckoff Pediatric Care Center - 1411 Myrtle Avenue, Wyckoff Heights Dental Services, PC, Brooklyn, NY 11237 | 2015-12-21 |
| 1245615442 | Estefany Sanchez Mendez | Pediatrics | 374 Stockholm Street - Faculty Practice Dept, Wyckoff Professional and Medical Services, PC, Brooklyn, NY 11237 | 2015-07-29 |
| 1033507231 | Macarena Rufin | Counselor | 315 Wyckoff Ave., 6th Floor, Brooklyn, NY 11237 | 2014-12-23 |
| 1740691021 | Wyckoff Anesthesia and Medical Services, PC | Clinic/Center | 93-95 Wyckoff Ave, Wyckoff Anesthesia and Medical Services, PC, Brooklyn, NY 11237 | 2014-05-08 |
| Find all providers in zip 11237 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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| 1093328890 | Philomene Goueliani Phd | Clinic/Center | 1461 E 103rd St, Brooklyn, NY 11236-4513 | 2020-08-31 |
| 1487279238 | Nss Medical Services, Pllc | Clinic/Center | 322 Linden Blvd., Ground Floor, Brooklyn, NY 11226 | 2020-06-08 |
| 1912541061 | Ajs Brooklyn Medical Practice PC | Clinic/Center | 475 Atlantic Ave Ste 2, Brooklyn, NY 11217-4383 | 2019-11-01 |
| 1871058990 | Freedom Physical Therapy, P.C. | Clinic/Center | 350 91st St Ste 1a, Brooklyn, NY 11209-5853 | 2019-02-02 |
| 1629564950 | Brownsville Chiropractic, PC | Clinic/Center | 409 Rockaway Ave Fl 2, Brooklyn, NY 11212-5635 | 2018-07-10 |
| 1144768458 | New Solution Home Care Inc | Clinic/Center | 722 E 4th St, Brooklyn, NY 11218-5704 | 2017-02-07 |
| 1619412988 | Jpc Medical PC | Clinic/Center | 1552 Ralph Ave, Brooklyn, NY 11236-3129 | 2016-12-22 |
| 1104379593 | Wyckoff Heights Medical Center | Clinic/Center | 545 Christopher Ave, Brooklyn, NY 11212-7029 | 2016-08-02 |
| 1245695030 | Wyckoff Heights Dental Services, PC | Clinic/Center | Wyckoff Pediatric Care Center - 1411 Myrtle Avenue, Wyckoff Heights Dental Services, PC, Brooklyn, NY 11237 | 2015-12-21 |
| 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.