Active NPI
Wyckoff Heights Medical Center
- General Acute Care Hospital
- Brooklyn, NY
National Provider Identifier
1023348570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- License
- 013198
- 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
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Elana Yusupova, RPA-C
- Title
- Physician Assistant
- Phone
- (917) 209-5745
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 013198 | NY | Primary |
Addresses
Primary practice location
374 Stockholm St
Brooklyn, NY 11237-4006
Mailing address
374 Stockholm St
Brooklyn, NY 11237-4006
Phone (718) 963-7266
National Provider Directory
National Provider DirectoryNPI Registry JSON
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": []
}Other providers in Brooklyn, NY
- 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
Sources for this page
- 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.