WYCKOFF HEIGHTS MEDICAL CENTER (NPI# 1851772511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851772511 |
| Entity Type | Organization |
| Organization Name | WYCKOFF HEIGHTS MEDICAL CENTER |
| Practice Address |
43 Powers St # 1 Brooklyn NY 11211-3514 |
| Practice Telephone | 8189155705 |
| Mailing Telephone | 8189155705 |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2015-06-17 |
| Authorized Official Name | DR. RONALD GUBERMAN (RESIDENCY DIRECTOR) |
| Authorized Official Telephone | 7189637332 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP1100X |
Clinic/Center Specialization: Podiatric |
N004232 | NY | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104379593 | Wyckoff Heights Medical Center | Clinic/Center | 545 Christopher Ave, Brooklyn, NY 11212-7029 | 2016-08-02 |
| 1609258227 | Wyckoff Heights Medical Center | General Acute Care Hospital | 987 Putnam Ave Apt 3a, Brooklyn, NY 11221-4295 | 2015-06-19 |
| 1659752459 | Wyckoff Heights Medical Center | General Acute Care Hospital | 653 Knickerbocker Ave, Apt 3r, Brooklyn, NY 11221-5040 | 2015-06-17 |
| 1093196776 | Wyckoff Heights Medical Center | Clinic/Center | 675 Water Street, Apt 16d, New York, NY 10002 | 2015-06-17 |
| 1700886322 | Wyckoff Heights Medical Center | General Acute Care Hospital | 374 Stockholm St, Brooklyn, NY 11237-4006 | 2005-07-26 |
| 1477115251 | Wyckoff Heights Medical Center | Emergency Medicine | 374 Stockholm St, Brooklyn, NY 11237-4006 | 2019-07-02 |
| 1639551070 | Wyckoff Heights Medical Center | General Acute Care Hospital | 10460 Queens Blvd, Apt 10p, Forest Hills, NY 11375-7318 | 2015-06-22 |
| 1902288459 | Wyckoff Heights Medical Center | General Acute Care Hospital | 987 Putnam Ave Apt 3a, Brooklyn, NY 11221-4295 | 2015-06-22 |
| 1922480607 | Wyckoff Heights Medical Center | General Acute Care Hospital | 374 Stockholm Street, Brooklyn, NY 11237 | 2015-06-18 |
| 1033514393 | Wyckoff Heights Medical Center | General Acute Care Hospital | 374 Stockholm St, Brooklyn, NY 11237-4006 | 2014-10-29 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | WYCKOFF HEIGHTS MEDICAL CENTER | 374 Stockholm St, Brooklyn, NY 11237-4006 |
| Street Address |
43 POWERS ST # 1 |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11211-3514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265068407 | Kent Russell Siady | Physical Therapist | 240 South 3rd.street, Brooklyn, NY 11211 | 2020-03-19 |
| 1285268623 | Rafieh Pharmacy | Pharmacy | 70 Lee Ave Store, Brooklyn, NY 11211 | 2020-02-25 |
| 1306314471 | Incontrol Nutrition | Dietitian, Registered | 378 Union Avenue, Office C, Brooklyn, NY 11211 | 2018-11-07 |
| 1073027751 | Alicia Perez | Counselor | 141 South 5th Street, Office West #6, Brooklyn, NY 11211 | 2017-11-16 |
| 1003350265 | Hani Alsergani | Internal Medicine | King Faisal Specialist Hospital. Heart Center., Takasussi Street. Mbc 16, Riyadh, CENTRAL 11211 | 2016-12-07 |
| 1043769805 | Jennifer S Budhan | Social Worker | 378 Union Ave, Office B, Brooklyn, NY 11211 | 2016-09-21 |
| 1174978613 | Amor Siozon | Physical Therapist | 185 Marcy Avenue, Brooklyn, NY 11211 | 2016-05-03 |
| 1649656638 | Albalis Chavez | Specialist | 334 South Third Street. Apt. 3c, Brooklyn, NY 11211 | 2015-08-03 |
| 1114315033 | Maja Mirkovic | Dietitian, Registered | 378 Union Avenue, Office C, Brooklyn, NY 11211 | 2014-12-30 |
| 1447687033 | Sarah Maria Johnson | Counselor | 190 S8 St. Apt. 14, Brooklyn, NY 11211 | 2013-09-27 |
| Find all providers in zip 11211 | ||||
| Taxonomy Code | 261QP1100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Podiatric |
| Definition to come... |
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| 1962826768 | Tunde Osofisan, Dpm P.C. | Clinic/Center | 295 Throop Ave, 1b, Brooklyn, NY 11206-7121 | 2014-02-13 |
| 1154750834 | Mark Morano Dpm PC | Clinic/Center | 1505b Mermaid Avenue, Brooklyn, NY 11224 | 2013-11-04 |
| 1598015216 | Sacada Foot Care PC. | Clinic/Center | 85 Avenue O, Brooklyn, NY 11204-6542 | 2012-09-11 |
| 1003004425 | Perfect Steps Care Center, Inc. | Clinic/Center | 1665 Bedford Ave Ste 2, Brooklyn, NY 11225-2028 | 2007-10-10 |
| 1194284182 | Maurice Betesh Dpm Pllc | Clinic/Center | 770 Ocean Pkwy, Brooklyn, NY 11230-2184 | 2019-03-18 |
| 1396227617 | Mobile Podiatry PC | Clinic/Center | 1335 Ocean Pkwy, Brooklyn, NY 11230-5655 | 2018-09-04 |
| 1134678527 | Dr Al Adams Dpm LLC | Clinic/Center | 1576 Flatbush Ave, Brooklyn, NY 11210-3046 | 2016-09-26 |
| 1467837773 | Campbell Podiatry PC | Clinic/Center | 4801 Fort Hamilton Pkwy, Brooklyn, NY 11219 | 2015-07-28 |
| 1457692311 | Kings Plaza Foot Care, PC | Clinic/Center | 5412 Kings Plz, Brooklyn, NY 11234-5217 | 2013-03-01 |
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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.