Active NPI
Suny Downstate Medical Center
- General Acute Care Hospital
- Brooklyn, NY
National Provider Identifier
1033320601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- License
- 010111
- Legal business name
- SUNY DOWNSTATE MEDICAL CENTER
- Practice address
- 450 Clarkson Ave # 1189
Brooklyn, NY 11203-2056 - Phone
- (718) 270-4603
- NPI assigned
- May 25, 2007
- 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
- Jill Benbow
- Title
- Physician Assistant
- Phone
- (718) 270-4603
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 010111 | NY | Primary |
Addresses
Primary practice location
450 Clarkson Ave # 1189
Brooklyn, NY 11203-2056
Mailing address
142 7TH Ave # 2
Brooklyn, NY 11215-2201
National Provider Directory
National Provider DirectoryLocations
450 Clarkson Ave
#1189
Brooklyn, NY 11203
Phone (718) 270-4603
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180051200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1033320601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "142 7TH AVE # 2",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112152201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 CLARKSON AVE # 1189",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112032056",
"telephone_number": "718-270-4603"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUNY DOWNSTATE MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-25",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BENBOW",
"authorized_official_first_name": "JILL",
"authorized_official_title_or_position": "PHYSICIAN ASSISTANT",
"authorized_official_telephone_number": "718-270-4603"
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "NY",
"license": "010111",
"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 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.