MAIMONIDES MEDICAL CENTER (NPI# 1790820702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790820702 |
| Entity Type | Organization |
| Organization Name | MAIMONIDES MEDICAL CENTER |
| Practice Address |
4802 10th Ave Brooklyn NY 11219-2916 |
| Mailing Address |
119 Parkville Ave Brooklyn NY 11230-1111 |
| Practice Telephone | 7182836000 |
| Mailing Telephone | 7186861324 |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | IGNAZIO DIMINO (CHIEF PA) |
| Authorized Official Telephone | 7182836000 |
| Authorized Official Credential | PA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
008093 | NY | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396130480 | Maimonides Medical Center | General Acute Care Hospital | 25 Gillespie St, Swoyersville, PA 18704-3005 | 2015-04-06 |
| 1518266956 | Maimonides Medical Center | General Acute Care Hospital | 168 Ardsley St, Staten Island, NY 10306-1607 | 2011-03-24 |
| 1356597256 | Maimonides Medical Center | General Acute Care Hospital | 555 Henderson Ave, Staten Island, NY 10310-1532 | 2008-08-11 |
| 1467639922 | Maimonides Medical Center | General Acute Care Hospital | 2684 West St, Apt 2d, Brooklyn, NY 11223-6455 | 2008-01-28 |
| 1770770620 | Maimonides Medical Center | Special Hospital | 199 Baltic St, Brooklyn, NY 11201-6173 | 2007-09-25 |
| 1730373234 | Maimonides Medical Center | General Acute Care Hospital | 914 48th St, Psychiatry Residency Training Department, Brooklyn, NY 11219-2918 | 2007-08-28 |
| 1992996334 | Maimonides Medical Center | Rehabilitation Hospital | 1725 Sterling Pl Apt 3b, Brooklyn, NY 11233-4520 | 2007-08-08 |
| 1942413695 | Maimonides Medical Center | Psychiatric Unit | 920 48 Street, Brooklyn, NY 11219 | 2007-05-08 |
| 1912110172 | Maimonides Medical Center | Social Worker | 920 48th Street, Brooklyn, NY 11219 | 2007-05-07 |
| 1346791845 | Maimonides Medical Center | General Acute Care Hospital | 4802 10th Ave, Department of Medicine Administration Building 301, Brooklyn, NY 11219 | 2016-10-19 |
| Street Address |
4802 10TH AVE |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11219-2916 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316943871 | Samantha Paige Jellinek | Pharmacist | 4802 10th Ave, Brooklyn, NY 11219-2844 | 2005-06-21 |
| 1730789959 | Arjun Basnet | Student in an Organized Health Care Education/Training Program | 4802 10th Ave, Brooklyn, NY 11219-2916 | 2020-10-27 |
| 1679171623 | Shehanaz Shajahan | Student in an Organized Health Care Education/Training Program | 4802 10th Ave, Brooklyn, NY 11219-2916 | 2020-10-13 |
| 1215534524 | Syed Mohammad Mazhar Uddin | Student in an Organized Health Care Education/Training Program | 4802 10th Ave, Brooklyn, NY 11219-2916 | 2020-10-08 |
| 1619581899 | Laurel Wright | Psychologist | 4802 10th Ave, Brooklyn, NY 11219-2916 | 2020-09-03 |
| 1780296749 | Rabiah Ashraf | Student in an Organized Health Care Education/Training Program | 4802 10th Ave, Brooklyn, NY 11219-2916 | 2020-08-20 |
| 1275142820 | Jenna Danae Katherine Kroeker | Student in an Organized Health Care Education/Training Program | 4802 10th Ave, Brooklyn, NY 11219-2916 | 2020-07-29 |
| 1720696347 | Jay Donald Keith | Student in an Organized Health Care Education/Training Program | 4802 10th Ave, Brooklyn, NY 11219-2916 | 2020-07-20 |
| 1003424912 | Amit Dhaliwal | Student in an Organized Health Care Education/Training Program | 4802 10th Ave, Brooklyn, NY 11219-2916 | 2020-07-16 |
| 1912515826 | Supraja Achuthanandan | Student in an Organized Health Care Education/Training Program | 4802 10th Ave, Brooklyn, NY 11219-2916 | 2020-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073127163 | Chava Bokchin | Registered Nurse | 6200 15th Avenue, Brooklyn, NY 11219 | 2020-09-04 |
| 1164033643 | Debbie Evadne Evans-wright | Nurse Practitioner | 979 48th Street, Brooklyn, NY 11219 | 2020-08-10 |
| 1528614559 | Jonathan Benjamin Goldstein | Specialist | Yeled Vyalda 1312 38 Street, Brooklyn, NY 11219 | 2019-08-15 |
| 1235782301 | Vanessa Walton | Social Worker | 4012 New Utrecht Avenue, Apt 1, Brooklyn, NY 11219 | 2019-07-18 |
| 1083184618 | Sandra Murray | Licensed Practical Nurse | 6321 New Utrecht Avenue Second Floor, Brooklyn, NY 11219 | 2018-11-27 |
| 1023588746 | Wanipa Muwowo-nwade | Physician Assistant | 4802 10th Ave Rm 301, Brooklyn, NY 11219 | 2018-11-26 |
| 1366919896 | Evelin Ponce | Licensed Practical Nurse | 6321 New Utrecht Avenue, Second Floor, Brooklyn, NY 11219 | 2018-11-02 |
| 1083180301 | Yefim Simkhayev | Occupational Therapist | 1317 52nd St, Brooklyn, NY 11219 | 2018-10-15 |
| 1598240186 | F & D Pharmacy Inc | Pharmacy | 5504 -13 Ave, Brooklyn, NY 11219 | 2018-09-28 |
| 1245737469 | Yekaterina Joltikov | Student in an Organized Health Care Education/Training Program | Miamonides Medical Center, 4802 10th Ave, Brooklyn, NY 11219 | 2018-04-13 |
| Find all providers in zip 11219 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235424615 | Kings County Hospital Center | General Acute Care Hospital | 1216 E 101st St, Brooklyn, NY 11236-5033 | 2011-06-14 |
| 1801979687 | King County Hospital Center | General Acute Care Hospital | 368 East 57th Street, Brooklyn, NY 11234-1204 | 2006-10-23 |
| 1801809041 | Maimonidesmedicalcenter | General Acute Care Hospital | 4801- 10th Avenue, Department of Medicine, Brooklyn, NY 11219-2801 | 2006-08-15 |
| 1346791845 | Maimonides Medical Center | General Acute Care Hospital | 4802 10th Ave, Department of Medicine Administration Building 301, Brooklyn, NY 11219 | 2016-10-19 |
| 1336463470 | Long Island College Hospital | General Acute Care Hospital | 339 Hicks St, Brooklyn, NY 11201-5509 | 2010-03-18 |
| 1952569071 | Long Island College Hospital | General Acute Care Hospital | 339 Hicks St, Brooklyn, NY 11201-5509 | 2008-05-27 |
| 1982813242 | Kings County Hospital | General Acute Care Hospital | 451 Clarkson Ave, Brooklyn, NY 11203-2057 | 2007-05-22 |
| 1801015623 | Kings County Hospital | General Acute Care Hospital | 451 Clarkson Ave, Brooklyn, NY 11203-2057 | 2007-04-24 |
| 1467679894 | Long Island College Hospital | General Acute Care Hospital | 339 Hicks St, Brooklyn, NY 11201-5509 | 2007-04-19 |
| 1033298351 | Kings County Hospital Center | General Acute Care Hospital | 451 Clarkson Ave, Brooklyn, NY 11203-2057 | 2006-11-06 |
| 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.