Organization Active NPI

St. Mary'S Hospital for Children

  • Pediatric Skilled Nursing Facility
  • Brooklyn, NY
National Provider Identifier
1013383264
Registry record updated Aug 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X
License
287016-1 Issued in NY
Legal business name
ST. MARY'S HOSPITAL FOR CHILDREN
Practice address
507 Bainbridge St
Brooklyn, NY 11233-2002
Phone
(718) 753-4431
Fax
(718) 280-5804
NPI assigned
Aug 11, 2015
Organization subpart
Yes
Parent organization
COMMUNITY CARE PROFESSIONALSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 11, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Lucinda MatthewNPI 1679940563
Title
LPN
Phone
(718) 819-2882

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Skilled Nursing Facility 3140N1450X 287016-1 NY Primary

Addresses

Primary practice location

507 Bainbridge St
Brooklyn, NY 11233-2002

Mailing address

507 Bainbridge St
Brooklyn, NY 11233-2002
Phone (718) 753-4431

National Provider Directory

National Provider Directory
Tax ID family
St Mary'S Hospital for Children15 organizations share this tax ID, including this one
Part of
St Mary'S Community Care Professional

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1439251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439251200000",
    "number": "1013383264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 BAINBRIDGE ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112332002",
            "telephone_number": "718-753-4431",
            "fax_number": "718-280-5804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 BAINBRIDGE ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112332002",
            "telephone_number": "718-753-4431",
            "fax_number": "718-280-5804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. MARY'S HOSPITAL FOR CHILDREN",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMUNITY CARE PROFESSIONALS",
        "enumeration_date": "2015-08-11",
        "last_updated": "2015-08-11",
        "status": "A",
        "authorized_official_last_name": "MATTHEW",
        "authorized_official_first_name": "LUCINDA",
        "authorized_official_title_or_position": "LPN",
        "authorized_official_telephone_number": "718-819-2882",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": "NY",
            "license": "287016-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.