BETH ISRAEL AMBULATORY CARE SERVICES CORP (NPI# 1942363098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942363098 |
| Entity Type | Organization |
| Organization Name | BETH ISRAEL AMBULATORY CARE SERVICES CORP |
| Practice Address |
3121 Kings Highway Beth Israel Ambulatory Care Services Corp Brooklyn NY 11234-2644 |
| Mailing Address |
160 Water St 24th Floor Attn: Jillian Sumpter New York NY 10038-4922 |
| Practice Telephone | 2122563296 |
| Practice Fax Number | 2122563595 |
| Mailing Telephone | 2122563296 |
| Mailing Fax Number | 2122563595 |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2015-09-09 |
| Authorized Official Name | MR. JOHN COLLURA (EXECUTIVE VICE PRESIDENT & CFO) |
| Authorized Official Telephone | 2126368468 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
7001269P | NY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | BLUE CROSS | 003611 | 01 |
| NY | 01660526 | 05 |
| Street Address |
3121 KINGS HIGHWAY BETH ISRAEL AMBULATORY CARE SERVICES CORP |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11234-2644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861000549 | Vanessa Clouden | Counselor | 651 East 59th St, Brooklyn, NY 11234 | 2020-07-17 |
| 1467098871 | Stephan Jean-claude | Licensed Practical Nurse | 853 Est 52nd St., Kings, NY 11234 | 2019-11-20 |
| 1356983167 | Barbara Baptiste | Family Medicine | 4710 Flatlands Ave, Brooklyn, NY 11234 | 2019-10-14 |
| 1376199141 | Sabrina Boutros | Physician Assistant | 1618 East 34th Street, Brooklyn, NY 11234 | 2019-08-16 |
| 1740846252 | Angelie Dawn Banaybanay Flores | Physical Therapist | 3214 Kings Highway, Brooklyn, New York, NY 11234 | 2019-05-10 |
| 1891273033 | Diana Haughton-bennett | Nurse Practitioner | 2067 E 60th St, Brooklyn, NY 11234 | 2018-07-31 |
| 1518450030 | Eduard Galper | Technician/Technologist | 2062 E 36th St, Brooklyn, NY 11234 | 2018-06-09 |
| 1538658448 | Vanessa Lee Hernandez | Nurse Practitioner | 3201 Kings Highway-emergency Room, Brooklyn, NY 11234 | 2018-05-07 |
| 1609377126 | Keisha Batson | Behavior Technician | 1669 E 48th St, Brooklyn, NY 11234 | 2018-02-21 |
| 1598280323 | Flex Rehab Physical Therapy PC | Physical Therapist | 1950 Coleman St, Brooklyn, NY 11234 | 2017-08-14 |
| Find all providers in zip 11234 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467826388 | Essica Huggins | Clinic/Center | 1600 Caton Ave, # 2d, Brooklyn, NY 11226-1001 | 2015-11-16 |
| 1033517263 | Island Ambulatory Surgery Center | Clinic/Center | 2279-83 Coney Island Ave, 1st Floor, Brooklyn, NY 11223-3337 | 2014-12-22 |
| 1992119135 | Chc Surgical Center LLC | Clinic/Center | 79 Bridge St, Brooklyn, NY 11201-1596 | 2014-06-16 |
| 1164848453 | Pbgs, LLC | Clinic/Center | 14 Dekalb Ave, 4th Floor, Brooklyn, NY 11201-5311 | 2014-03-11 |
| 1255675062 | Brooklyn Sc LLC | Clinic/Center | 6010 Bay Parkway 4th Floor, Brooklyn, NY 11204 | 2012-11-16 |
| 1316259831 | 758 Medical Services PC | Clinic/Center | 758 56th St, Brooklyn, NY 11220-3504 | 2010-07-13 |
| 1285867135 | Discreet Plastic Surgery PC | Clinic/Center | 2120 Ocean Ave, Brooklyn, NY 11229-1406 | 2009-08-26 |
| 1366646416 | Dallas Broadway | Clinic/Center | 18 Sumner Place, Brooklyn, NY 11206 | 2007-06-13 |
| 1710979109 | Sheepshead Bay Surgery Center, Inc. | Clinic/Center | 2269 Ocean Ave, Brooklyn, NY 11229-3103 | 2005-08-22 |
| 1215939186 | All City Family Healthcare Center, Inc. | Clinic/Center | 3632 Nostrand Ave, Ground Floor, Brooklyn, NY 11229-5303 | 2005-08-11 |
| 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.