Maimonides Medical Center

Primary specialty

SpecialistTaxonomy code 174400000X

License

218810 Issued in NY

Legal business name

MAIMONIDES MEDICAL CENTER

Practice address

948 48TH St
2ND Floor
Brooklyn, NY 11219-2918

Phone

(718) 283-7219

Fax

(718) 635-7149

NPI assigned

Jul 2, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Denise Giannone

Title

Floor Manger, Office Manger

Phone

(718) 283-7219

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Maimonides Medical Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• MMC Neurosurgery

  • Neurological Surgery Physician
  • Brooklyn, NY
  • NPI 1952420945
  NPD tax ID

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043417017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "948 48TH ST",
            "address_2": "2ND FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112192918",
            "telephone_number": "718-283-7219",
            "fax_number": "718-635-7149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "948 48TH ST",
            "address_2": "2ND FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112192918",
            "telephone_number": "718-283-7219",
            "fax_number": "718-635-7149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIMONIDES MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GIANNONE",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "FLOOR MANGER, OFFICE MANGER",
        "authorized_official_telephone_number": "718-283-7219",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "218810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02842648",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maimonides Hospital
• Maimonides Internal Medicine FPP
• Maimonides Med Ctr-MMC OBGYN FPP
• Maimonides Medical Center
• Maimonides Medical Center
• Maimonides Medical Center
• Maimonides Medical Center
• Maimonides Medical Center
• Maimonides Medical Center
• Maimonides Medical Center

• All providers in Brooklyn, NY
• Specialist in New York

• 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.

Verify at the official NPI Registry.