NPIMap

Organization Active NPI

Maimonides Medical Center

  • General Acute Care Hospital
  • Brooklyn, NY
National Provider Identifier
1013389089
Registry record updated Oct 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
7001020H Issued in NY
Legal business name
MAIMONIDES MEDICAL CENTER
Practice address
745 64TH St
Brooklyn, NY 11220-4745
Phone
(718) 283-2560
NPI assigned
Oct 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2015

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

Authorized official

Name
Karen Kobus, MJ, MPA, MSW
Title
Vice President, Professional Affair
Phone
(718) 283-8958

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 7001020H NY Primary

Addresses

Primary practice location

745 64TH St
Brooklyn, NY 11220-4745

Mailing address

745 64TH St
Brooklyn, NY 11220-4745
Phone (718) 283-2560

Other identifiers 1

IdentifierTypeStateIssuer
02998736MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
New York Vascular Care PL27 organizations share this tax ID, including this one

Other organizations with this tax ID 26

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

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1446076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446076800000",
    "number": "1013389089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 64TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112204745",
            "telephone_number": "718-283-2560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 64TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112204745",
            "telephone_number": "718-283-2560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIMONIDES MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-29",
        "last_updated": "2015-10-29",
        "status": "A",
        "authorized_official_last_name": "KOBUS",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "VICE PRESIDENT, PROFESSIONAL AFFAIR",
        "authorized_official_telephone_number": "718-283-8958",
        "authorized_official_credential": "MJ, MPA, MSW"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NY",
            "license": "7001020H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02998736",
            "state": "NY"
        }
    ],
    "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 Oct 29, 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.