Active NPI
Kingsbrook Jewish Medical Center
- Clinic/Center
- Brooklyn, NY
National Provider Identifier
1013176700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- 7001033H
- Legal business name
- KINGSBROOK JEWISH MEDICAL CENTER
- Practice address
- 585 Schenectady Ave
Managed Care Dept
Brooklyn, NY 11203-1809 - Phone
- (718) 604-5469
- Fax
- (718) 604-5527
- NPI assigned
- Jun 6, 2008
- Last updated
- Feb 10, 2012
- Organization subpart
- Yes
- Parent organization
- KINGSBROOK JEWISH MEDICAL CENTER
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kiran Batheja
- Title
- VP-Revenue Cycle Management
- Phone
- (718) 604-5578
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | 7001033H | NY | Primary |
Addresses
Primary practice location
585 Schenectady Ave
Managed Care Dept
Brooklyn, NY 11203-1809
Mailing address
585 Schenectady Ave
Managed Care Dept
Brooklyn, NY 11203-1809
Phone (718) 604-5469
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01957033 | Medicaid | NY |
Other names 1
- Kingsbrook Jewish Medical Center Physician Group
National Provider Directory
National Provider Directory- Part of
- Kingsbrook Jewish Med Ctr
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212710400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1328832000000",
"number": "1013176700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "585 SCHENECTADY AVE",
"address_2": "MANAGED CARE DEPT",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112031809",
"telephone_number": "718-604-5469",
"fax_number": "718-604-5527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "585 SCHENECTADY AVE",
"address_2": "MANAGED CARE DEPT",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112031809",
"telephone_number": "718-604-5469",
"fax_number": "718-604-5527"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KINGSBROOK JEWISH MEDICAL CENTER",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "KINGSBROOK JEWISH MEDICAL CENTER",
"enumeration_date": "2008-06-06",
"last_updated": "2012-02-10",
"status": "A",
"authorized_official_last_name": "BATHEJA",
"authorized_official_first_name": "KIRAN",
"authorized_official_title_or_position": "VP-REVENUE CYCLE MANAGEMENT",
"authorized_official_telephone_number": "718-604-5578"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "NY",
"license": "7001033H",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01957033",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Kingsbrook Jewish Medical Center Physician Group",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Brooklyn, NY
- Kingsboro Psychiatric Center (No.)
- Kingsboro Psychiatric Center
- Kingsboro Psychiatric Center
- Kingsboro Vision Inc.
- Kingsbridge Home Health Services
- Kingsbrook Jewish Medical Center
- Kingsbrook Jewish Medical Center
- Kingsbrook Jewish Medical Center
- Kingsbrook Jewish Medical Center
- Kingsbrook Jewish Medical Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.