KINGSBORO PSYCHIATRIC CENTER (NPI# 1992869804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992869804 |
| Entity Type | Organization |
| Organization Name | KINGSBORO PSYCHIATRIC CENTER |
| Practice Address |
681 Clarkson Ave Brooklyn NY 11203-2125 |
| Mailing Address |
44 Holland Ave Attn: Sofg/medicare D Albany NY 12229-0000 |
| Practice Telephone | 7182217700 |
| Mailing Fax Number | 5184864303 |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2019-06-27 |
| Authorized Official Name | BETH GAIL GIARRUSSO (FINANCE DIRECTOR) |
| Authorized Official Telephone | 5184733598 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
| Y | 3336I0012X |
Pharmacy Specialization: Institutional Pharmacy |
NY | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386724045 | Kingsboro Psychiatric Center | Psychiatric Hospital | 309 Mayfair Dr N, Brooklyn, NY 11234-6715 | 2006-10-17 |
| 1720170087 | Kingsboro Psychiatric Center | Psychiatric Hospital | 24 Laurel Avenue, Tenafly, NJ 07670 | 2006-09-28 |
| 1689156259 | Kingsboro Psychiatric Center | Nursing Care | 10 Manhattan Ave, Brooklyn, NY 11206-3950 | 2018-08-30 |
| 1467996348 | Kingsboro Psychiatric Center | Psychiatric Unit | 681 Clarkson Ave, Brooklyn, NY 11203-2125 | 2016-12-12 |
| 1891156410 | Kingsboro Psychiatric Center | Psychiatric Hospital | 681 Clarkson Ave, Brooklyn, NY 11203-2125 | 2016-03-09 |
| 1003126046 | Kingsboro Psychiatric Center | Psychiatric Hospital | 681 Clarkson Ave, Brooklyn, NY 11203-2125 | 2010-10-08 |
| 1578880944 | Kingsboro Psychiatric Center | Psychiatric Hospital | 681 Clarkson Ave, Brooklyn, NY 11203-2125 | 2010-04-26 |
| 1801112131 | Kingsboro Psychiatric Center | Psychiatric Hospital | 681 Clarkson Ave, Brooklyn, NY 11203-2125 | 2010-04-12 |
| 1548324452 | Kingsboro Psychiatric Center | Health Maintenance Organization | 681 Clarkson Ave, Brooklyn, NY 11203-2125 | 2006-12-22 |
| 1184704736 | Kingsboro Psychiatric Center | Psychiatric Hospital | 681 Clarkson Ave, Brooklyn, NY 11203-2125 | 2006-10-17 |
| Street Address |
681 CLARKSON AVE |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11203-2125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457431546 | Dhananjay A Bhagogi | Internal Medicine | 681 Clarkson Ave, Building 2, Brooklyn, NY 11203-2125 | 2006-10-16 |
| 1588295034 | Victoria Tayese | Registered Nurse | 681 Clarkson Ave, Brooklyn, NY 11203-2125 | 2020-02-03 |
| 1548806979 | William Brown | Student in an Organized Health Care Education/Training Program | 681 Clarkson Ave, Brooklyn, NY 11203-2125 | 2019-11-20 |
| 1295378461 | Racheal Olufunke Ajiboye | Registered Nurse | 681 Clarkson Ave, Brooklyn, NY 11203-2125 | 2019-10-21 |
| 1194367854 | Rose Boutin | Registered Nurse | 681 Clarkson Ave, Brooklyn, NY 11203-2125 | 2019-10-15 |
| 1508407875 | Nathaniel Ajibade | Registered Nurse | 681 Clarkson Ave, Brooklyn, NY 11203-2199 | 2019-10-08 |
| 1316588684 | Modupe Kolawole | Registered Nurse | 681 Clarkson Ave, Brooklyn, NY 11203-2199 | 2019-10-08 |
| 1861033359 | Irshad Amirali Sumar | Psychiatry & Neurology | 681 Clarkson Ave, Brooklyn, NY 11203-2199 | 2019-10-05 |
| 1710528799 | Corazon Tapere Ty | Registered Nurse | 681 Clarkson Ave, Brooklyn, NY 11203-2125 | 2019-10-01 |
| 1043851215 | Raisa Suelyn Harrington | Registered Nurse | 681 Clarkson Ave, Brooklyn, NY 11203-2125 | 2019-09-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023615747 | Winnie Ming Wong | Dance Therapist | 451 Clarkson Ave R Building, Idd/mh Unit, R5west, Brooklyn, NY 11203 | 2020-10-06 |
| 1174134803 | Jermiah Jonoah Jones | Social Worker | 307 E 54th St, 3, Brooklyn, NY 11203 | 2020-08-14 |
| 1780201566 | Jesvin Jeyapaulraj | Student in an Organized Health Care Education/Training Program | 450 Clarkson Avenue, Suny Downstate, General Surgery Department, Brooklyn, NY 11203 | 2020-06-29 |
| 1881219731 | Natasha Thomas | Specialist | 140 East 52nd St Brooklyn, Apt 1r, Brooklyn, NY 11203 | 2020-06-16 |
| 1679197396 | Syed Hamza Bin Waqar | Student in an Organized Health Care Education/Training Program | 450 Clarkson Avenue, Msc 50, Suny Downstate, Brooklyn, NY 11203 | 2020-05-29 |
| 1013536846 | Isaak Rubinov | Student in an Organized Health Care Education/Training Program | 91 E 39th St, Brooklyn, NY 11203 | 2020-04-12 |
| 1932733615 | Shade Celestine | Specialist | 293 East53rd Street, Brooklyn, NY 11203 | 2020-03-03 |
| 1023656147 | Shenez Brutus | Nurse Practitioner | Suny Downstate College of Nursing, 450 Clarkson Avenue, Brooklyn, NY 11203 | 2019-12-19 |
| 1215586425 | Terry-ann Lee | Registered Nurse | 440 East 45th Street, Kings, NY 11203 | 2019-09-10 |
| 1568023828 | Mmeyeneabasi David Omede | Student in an Organized Health Care Education/Training Program | 450 Clarkson Avenue, Suny Downstate Medical Center, Brooklyn, NY 11203 | 2019-06-26 |
| Find all providers in zip 11203 | ||||
| Taxonomy Code | 3336I0012X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Institutional Pharmacy |
| A pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467822163 | New York City Health and Hospitals Corp | Pharmacy | 275 Atlantic Ave, Brooklyn, NY 11201-5714 | 2015-10-07 |
| 1063577831 | New York City Health and Hospitals Corporation | Pharmacy | 2094 Pitkin Ave, Brooklyn, NY 11207-3509 | 2006-12-22 |
| 1356406136 | New York City Health and Hospitals Corporation | Pharmacy | 100 N Portland Ave, Brooklyn, NY 11205-2005 | 2006-12-22 |
| 1184632945 | New York City Health and Hospitals Corporation | Pharmacy | 594 Albany Ave, Brooklyn, NY 11203-1706 | 2006-08-04 |
| 1487677472 | Kingsbrook Jewish Medical Center | Pharmacy | 585 Schenectady Ave, Brooklyn, NY 11203-1809 | 2006-07-25 |
| 1184642290 | Mjg Nursing Home Inc. | Pharmacy | 4915 10th Ave, Brooklyn, NY 11219-3301 | 2006-07-17 |
| 1467487892 | Shorefront Jewish Geriatric Center Inc. | Pharmacy | 3015 W 29th St, Brooklyn, NY 11224-1901 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013495423 | Parkview Niagara Street, LLC | Pharmacy | 1050 Niagara Street, Suite 110, Buffalo, NY 14213-2007 | 2018-07-30 |
| 1053713883 | State of New York | Pharmacy | Cook St, Dannemora, NY 12929 | 2014-09-24 |
| 1376945618 | Pine Pharmaceuticals, LLC | Pharmacy | 100 Colvin Woods Pkwy Ste 300, Tonawanda, NY 14150-6974 | 2014-09-18 |
| 1851714752 | College of Veterinary Medicine | Pharmacy | Cornell University Phcy-vmc Bldg, Tower Rd, Ithaca, NY 14853 | 2014-01-28 |
| 1649318767 | Thales Well Pharmacy Inc | Pharmacy | 1785 New York Ave, Huntington Station, NY 11746-1727 | 2007-02-01 |
| 1154488476 | United Health Services, Inc. | Pharmacy | 10 42 Mitchell Ave, Binghamton, NY 13903-1602 | 2007-01-03 |
| 1134137375 | New York City Health and Hospitals Corporation | Pharmacy | 545 E 142nd St, Bronx, NY 10454-2110 | 2006-08-03 |
| 1427063270 | New York City Health and Hospitals Corporation | Pharmacy | 234 E 149th St Rm 2a1, Bronx, NY 10451-5504 | 2006-07-30 |
| 1437783461 | Christina Bumbalo | Pharmacy | 565 Abbott Rd, Buffalo, NY 14220-2039 | 2020-02-28 |
| 1194206508 | Christine Lavinio | Pharmacy | 900 Franklin Ave, Valley Stream, NY 11580-2145 | 2018-08-23 |
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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.