INTERFAITH MEDICAL CENTER (NPI# 1790030641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790030641 |
| Entity Type | Organization |
| Organization Name | INTERFAITH MEDICAL CENTER |
| Practice Address |
1545 Atlantic Ave Brooklyn NY 11213-1122 |
| Mailing Address |
5 Jones St Apt 3 New York NY 10014-5640 |
| Practice Telephone | 7186136600 |
| Mailing Telephone | 9175200015 |
| Enumeration Date | 2012-07-17 |
| Last Update Date | 2012-07-17 |
| Authorized Official Name | DR. JOEL SAMBURSKY (SUPERVISOR) |
| Authorized Official Telephone | 7186134489 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 283Q00000X | Psychiatric Hospital | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265855944 | Interfaith Medical Center | Student in an Organized Health Care Education/Training Program | 10517 77th St, Fl 2, Ozone Park, NY 11417-1010 | 2014-01-30 |
| 1538338702 | Interfaith Medical Center | Community Based Residential Treatment Facility, Mental Illness | 1366 E New York Ave, Brooklyn, NY 11212-4535 | 2008-02-21 |
| 1508909987 | Interfaith Medical Center | General Acute Care Hospital | 500 Saint Marks Ave, Brooklyn, NY 11238-3710 | 2007-02-15 |
| 1487724712 | Interfaith Medical Center | General Acute Care Hospital | 1545 Atlantic Avenue, Brooklyn, NY 11213 | 2006-11-08 |
| 1255686184 | Interfaith Medical Center | Psychiatric Hospital | 1545 Atlantic Ave, Brooklyn, NY 11213-1122 | 2012-07-17 |
| 1093047821 | Interfaith Medical Center | General Acute Care Hospital | 1545 Atlantic Ave, Brooklyn, NY 11213-1122 | 2010-02-04 |
| 1235387309 | Interfaith Medical Center | Clinic/Center | 1475 Fulton St, Brooklyn, NY 11216-2506 | 2008-09-03 |
| 1588868889 | Interfaith Medical Center | Psychiatric Unit | 1545 Atlantic Ave, Brooklyn, NY 11213-1122 | 2007-06-12 |
| 1669674016 | Interfaith Medical Center | Psychiatric Unit | 1545 Atlantic Ave, Brooklyn, NY 11213-1122 | 2007-06-05 |
| 1801007893 | Interfaith Medical Center | General Acute Care Hospital | 1545 Atlantic Ave, Brooklyn, NY 11213-1122 | 2007-05-24 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | INTERFAITH MEDICAL CENTER | 1545 Atlantic Ave, Brooklyn, NY 11213-1122 |
| Street Address |
1545 ATLANTIC AVE |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11213-1122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558366575 | David R Trauber | Internal Medicine | 1545 Atlantic Ave, Brooklyn, NY 11213-1122 | 2005-06-16 |
| 1104426196 | Isaiah Jacoby Hammonds | Student in an Organized Health Care Education/Training Program | 1545 Atlantic Ave, Brooklyn, NY 11213-1122 | 2020-10-28 |
| 1376159962 | Amita Arora | Student in an Organized Health Care Education/Training Program | 1545 Atlantic Ave, Brooklyn, NY 11213-1122 | 2020-09-18 |
| 1922613389 | Amulya Lakshmi Bellamkonda | Student in an Organized Health Care Education/Training Program | 1545 Atlantic Ave, Brooklyn, NY 11213-1122 | 2020-09-12 |
| 1881208007 | Binit Aryal | Student in an Organized Health Care Education/Training Program | 1545 Atlantic Ave, Brooklyn, NY 11213-1122 | 2020-09-04 |
| 1245843499 | Pooja Kc | Student in an Organized Health Care Education/Training Program | 1545 Atlantic Ave, Brooklyn, NY 11213-1122 | 2020-08-27 |
| 1811500127 | Aakriti Shrestha | Student in an Organized Health Care Education/Training Program | 1545 Atlantic Ave, Brooklyn, NY 11213-1122 | 2020-08-26 |
| 1326651969 | Unknown Tsering Dolkar | Student in an Organized Health Care Education/Training Program | 1545 Atlantic Ave, Brooklyn, NY 11213-1122 | 2020-08-24 |
| 1063025625 | Roshan Bisural | Student in an Organized Health Care Education/Training Program | 1545 Atlantic Ave, Brooklyn, NY 11213-1122 | 2020-08-24 |
| 1306459979 | Samaj Adhikari | Student in an Organized Health Care Education/Training Program | 1545 Atlantic Ave, Brooklyn, NY 11213-1122 | 2020-08-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548885262 | Zaire Hairston | Counselor | 1625 President Street Brooklyn, Ny 11213 Apt 3a, 1625 President Street Brooklyn, Ny 11213 Apt 3a, Brooklyn, NY 11213 | 2020-06-09 |
| 1447801394 | Rron Lleshi | Physician Assistant | 1635 Union Street, Apt 1a, Brooklyn, NY 11213 | 2019-09-23 |
| 1639723174 | Jamie Zena Morris | Licensed Vocational Nurse | 1372 Sterling Pl B2, Brooklyn, NY 11213 | 2019-08-01 |
| 1073097572 | Mariia Tonkonog | Specialist | 878 Easetern Pkwy, Brooklyn, NY 11213 | 2018-09-20 |
| 1114413234 | Rimma Salganik | Social Worker | Bright Futures for The Children, 119 Schenectady Ave, Brooklyn, NY 11213 | 2018-07-02 |
| 1861980138 | Ibrahim Elkattawy | Student in an Organized Health Care Education/Training Program | 1545 Atlantic Ave # 11213, Brooklyn, NY 11213 | 2018-04-23 |
| 1528571858 | Rivkah Shuchat | Physical Therapist | Homecare, Brooklyn, NY 11213 | 2017-11-08 |
| 1356854699 | Lisa Watler | Physical Therapy Assistant | 1470 Union Street, Brooklyn, NY 11213 | 2017-11-08 |
| 1962914713 | Rockaway Ave Pharmacy Inc | Pharmacist | 226 Schenectady Ave, Brooklyn, NY 11213 | 2017-11-02 |
| 1649796152 | Janet Agbaku | Registered Nurse | 893 Eastern Parkway, Fl 2, Brooklyn, NY 11213 | 2017-08-16 |
| Find all providers in zip 11213 | ||||
| Taxonomy Code | 283Q00000X |
| Grouping | Hospitals |
| Classification | Psychiatric Hospital |
| An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |
| Notes: Source: Expanded from 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 |
|---|---|---|---|---|
| 1306163381 | St. Vincent's Hospital | Psychiatric Hospital | 136 Hicks St, Apt 2c, Brooklyn, NY 11201-2366 | 2010-04-29 |
| 1598952566 | Our Lady of Mercy Medical Center | Psychiatric Hospital | 253 80th St, Brooklyn, NY 11209-3611 | 2007-10-03 |
| 1427117977 | Frederick Thomas Townsend Jr. | Psychiatric Hospital | 1819 Bergen St, Brooklyn, NY 11233-4513 | 2006-12-08 |
| 1386724045 | Kingsboro Psychiatric Center | Psychiatric Hospital | 309 Mayfair Dr N, Brooklyn, NY 11234-6715 | 2006-10-17 |
| 1891156410 | Kingsboro Psychiatric Center | Psychiatric Hospital | 681 Clarkson Ave, Brooklyn, NY 11203-2125 | 2016-03-09 |
| 1881023604 | Brookdale University Hospital and Medical Center | Psychiatric Hospital | 1 Brookdale Plz, Brooklyn, NY 11212-3139 | 2013-11-02 |
| 1720321870 | Llamar Walker | Psychiatric Hospital | One Brookdale Plaza, Brooklyn, NY 11212 | 2013-03-27 |
| 1790022440 | Giacomo S Buscaino | Psychiatric Hospital | 8620 18th Ave, Brooklyn, NY 11214-3702 | 2013-01-14 |
| 1235476268 | Gail Beverly Stuart | Psychiatric Hospital | 681 Clarkson Avenue, Kingsboro Psychiatric Center, Brooklyn, NY 11203 | 2013-01-10 |
| 1194061275 | South Beach Psychiatric Center | Psychiatric Hospital | 8620 18th Ave, Brooklyn, NY 11214-3702 | 2012-12-18 |
| 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.