Active NPI
Brooklyn College Speech and Hearing Center
- Audiologist
- Brooklyn, NY
National Provider Identifier
1053493437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 000609-1
- Legal business name
- BROOKLYN COLLEGE SPEECH AND HEARING CENTER
- Practice address
- 2900 Bedford Ave
4400 Boylan Hall
Brooklyn, NY 11210-2850 - Phone
- (718) 951-5186
- Fax
- (718) 951-4363
- NPI assigned
- Oct 19, 2006
- 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
- Mr. Michael Bergen, AUD
- Title
- Clinic Director
- Phone
- (718) 951-5186
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 000609-1 | NY | Primary |
Addresses
Primary practice location
2900 Bedford Ave
4400 Boylan Hall
Brooklyn, NY 11210-2850
Mailing address
2900 Bedford Ave
4400 Boylan Hall
Brooklyn, NY 11210-2850
Phone (718) 951-5186
National Provider Directory
National Provider Directory- Tax ID family
- Brooklyn College Speech and Hearing Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Speech-Language Pathologist
- Brooklyn, NY
- NPI 1164732277
Locations
2900 Bedford Ave
#4400
Brooklyn, NY 11210
Phone (718) 951-5186
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- Brooklyn, NY
- NPI 1912158163
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1053493437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2900 BEDFORD AVE",
"address_2": "4400 BOYLAN HALL",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112102850",
"telephone_number": "718-951-5186",
"fax_number": "718-951-4363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 BEDFORD AVE",
"address_2": "4400 BOYLAN HALL",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112102850",
"telephone_number": "718-951-5186",
"fax_number": "718-951-4363"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BROOKLYN COLLEGE SPEECH AND HEARING CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-19",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BERGEN",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "CLINIC DIRECTOR",
"authorized_official_telephone_number": "718-951-5186",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "AUD"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Audiologist",
"state": "NY",
"license": "000609-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
- Brooklyn Childrens Psychiatric Center
- Brooklyn Chinese-American Association
- Brooklyn Chiropractic Associates, PC
- Brooklyn Chiropractic Care PC
- Brooklyn City Rehabilitation PT PC
- Brooklyn College Speech and Hearing Center
- Brooklyn Comfortable Dental Care
- Brooklyn Community Housing & Services, Inc.
- Brooklyn Community Medcail PC
- Brooklyn Community Medical PC
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.