Active NPI
Maimonides Medical Center - MMC Neurosurgery FPP
- Neurological Surgery Physician
- Brooklyn, NY
National Provider Identifier
1043460199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- Legal business name
- MAIMONIDES MEDICAL CENTER - MMC NEUROSURGERY FPP
- Practice address
- 4802 10TH Ave
Brooklyn, NY 11219-2916 - Phone
- (718) 283-8777
- Fax
- (718) 283-8796
- NPI assigned
- Sep 25, 2008
- Last updated
- Sep 25, 2008
- 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
- Simone Betchen
- Title
- Director
- Phone
- (718) 283-8773
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | NY | Primary |
Addresses
Primary practice location
4802 10TH Ave
Brooklyn, NY 11219-2916
Mailing address
Gpo Box 27399
New York, NY 10087-7399
Phone (718) 283-8777
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 14
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.
-
- Neurological Surgery Physician
- New York, NY
- NPI 1063927218
-
- Diagnostic Radiology Physician
- Johnson City, NY
- NPI 1205872017
-
- Neurological Surgery Physician
- Brooklyn, NY
- NPI 1255672945
-
- Neurological Surgery Physician
- Brooklyn, NY
- NPI 1518048966
-
- Surgical Physician Assistant
- Brooklyn, NY
- NPI 1407974108
-
- Neurological Surgery Physician
- Brooklyn, NY
- NPI 1871503003
-
- Surgical Physician Assistant
- Brooklyn, NY
- NPI 1851078729
-
- Neurological Surgery Physician
- New York, NY
- NPI 1326461658
-
- Neurological Surgery Physician
- Brooklyn, NY
- NPI 1548451032
-
- Physician Assistant
- Bronx, NY
- NPI 1437704699
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222300800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1222300800000",
"number": "1043460199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "GPO BOX 27399",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100877399",
"telephone_number": "718-283-8777",
"fax_number": "718-283-8796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4802 10TH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112192916",
"telephone_number": "718-283-8777",
"fax_number": "718-283-8796"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAIMONIDES MEDICAL CENTER - MMC NEUROSURGERY FPP",
"organizational_subpart": "NO",
"enumeration_date": "2008-09-25",
"last_updated": "2008-09-25",
"status": "A",
"authorized_official_last_name": "BETCHEN",
"authorized_official_first_name": "SIMONE",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "718-283-8773"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Neurological Surgery",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
- Maimonides Medical Center - Maimo Criticare FPP
- Maimonides Medical Center - Maimonides Division of Renal Medic
- Maimonides Medical Center - MMC Division of Geriatric Medicine FPP
- Maimonides Medical Center - MMC Emergency Physicians FPP
- Maimonides Medical Center - MMC Gastroenterology FPP
- Maimonides Medical Center - MMC Radiology FPP
- Maimonides Medical Center - Rheumatology FPP
- Maimonides Medical Center -MMC Surgical Oncology Associates FPP
- Maimonides Medical Center Acute Care Surgery FPP
- Maimonides Medical Center Division of Otolaryngology FPP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.