Wyckoff Heights Medical Center

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

013198 Issued in NY

Legal business name

WYCKOFF HEIGHTS MEDICAL CENTER

Practice address

374 Stockholm St
Brooklyn, NY 11237-4006

Phone

(718) 963-7266

NPI assigned

Jan 6, 2010

Last updated

Jan 6, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Elana Yusupova, RPA-CNPI 1396061032

Title

Physician Assistant

Phone

(917) 209-5745

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elana Yusupova, P.A.

  • Surgical Physician Assistant
  • Jamaica, NY
  • NPI 1396061032
  Authorized official Same address or phone

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

{
    "created_epoch": "1262736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262736000000",
    "number": "1023348570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "374 STOCKHOLM ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112374006",
            "telephone_number": "718-963-7266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "374 STOCKHOLM ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112374006",
            "telephone_number": "718-963-7266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYCKOFF HEIGHTS MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-06",
        "last_updated": "2010-01-06",
        "status": "A",
        "authorized_official_last_name": "YUSUPOVA",
        "authorized_official_first_name": "ELANA",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT",
        "authorized_official_telephone_number": "917-209-5745",
        "authorized_official_credential": "RPA-C"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NY",
            "license": "013198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wyckoff Emergency Medicine Services, P.C.
• Wyckoff Emergency Medicine Services, PC
• Wyckoff Family Medical Services P C
• Wyckoff Heights Dental Services P.C.
• Wyckoff Heights Dental Services, PC
• Wyckoff Heights Medical Center
• Wyckoff Heights Medical Center
• Wyckoff Heights Medical Center
• Wyckoff Heights Medical Center
• Wyckoff Heights Medical Center

• General Acute Care Hospital in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• General Acute Care Hospital in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2010; 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.