NPIMap

Organization Active NPI

New York City Health and Hospitals Corporation

Doing business as East New York Diagnostic & Treatment Center

  • Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1063577831
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION
Doing business as
East New York Diagnostic & Treatment Center
Practice address
2094 Pitkin Ave
Brooklyn, NY 11207-3509
Phone
(718) 240-0559
Fax
(718) 240-0413
NPI assigned
Dec 22, 2006
Last updated
Apr 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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

Authorized official

Name
Ms. Marji J Karlin
Title
Chief Revenue Officer
Phone
(646) 458-3481

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary
Internal Medicine Physician 207R00000X
Institutional Pharmacy 3336I0012X

Addresses

Primary practice location

2094 Pitkin Ave
Brooklyn, NY 11207-3509

Mailing address

50 Water St FL 3
New York, NY 10004-6010
Phone (646) 458-3481

Other identifiers 1

IdentifierTypeStateIssuer
01481007MedicaidNY

Other names 1

  • East New York Diagnostic & Treatment Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
O20040322001521 NY Part B Supplier - Clinic/Group Practice 4183535305 Receives reassigned benefits from 1,798 practitioners
17 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
O20150910001760 NY Part A Provider - Federally Qualified Health Center (FQHC) 4082800305 Practice locations: Brooklyn, NY
O20160723000040 NY Part A Provider - Federally Qualified Health Center (FQHC) 4082800305 Practice locations: Brooklyn, NY
O20160723000041 NY Part A Provider - Federally Qualified Health Center (FQHC) 4082800305 Practice locations: Brooklyn, NY

NPI to CCN mapping 3

The Medicare certification numbers (CCNs) connected to NPI 1063577831. Details of each certification follow.

Federally qualified health center certification: CCN 331160

Legal name
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION
Doing business as
EAST NY DIAGNOSTIC & TREATMENT CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Sep 15, 2015
Last certification
Sep 15, 2015
Ownership / control type
Non-profit – corporation
Organization structure
GovernmentNon-profit
Incorporated
Jul 1, 1970 in NY
Enrollment address
2094 Pitkin Ave
Brooklyn, NY 11207-3509

Federally qualified health center certification: CCN 571023

Legal name
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION
Doing business as
CROWN HEIGHTS
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 4, 2016
Last certification
Oct 4, 2016
Ownership / control type
For profit – corporation
Organization structure
GovernmentNon-profit
Incorporated
Jul 1, 1970 in NY
Enrollment address
1218 Prospect PL
Brooklyn, NY 11213-2211

Federally qualified health center certification: CCN 571036

Legal name
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION
Doing business as
BROWNSVILLE CHILD HEALTH CLINIC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 4, 2016
Last certification
Oct 4, 2016
Ownership / control type
For profit – corporation
Organization structure
GovernmentNon-profit
Incorporated
Jul 1, 1970 in NY
Enrollment address
259 Bristol St
Brooklyn, NY 11212-5540

Other NPIs with the same Medicare PAC ID 20

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 20

Other NPIs on the same Medicare enrollment 17

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 17

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D0007388East New York Diagnostic and Treatment2094 Pitkin Ave, Brooklyn, NY 11207Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 46

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Barbara a Lowe Individual Corporate DirectorBoard Member May 18, 2015
Vincent Calamia Individual Corporate DirectorBoard Member Jan 13, 2012
Gary Jenkins Individual Corporate DirectorBoard Member Mar 1, 2022
John E Ulberg Individual Corporate DirectorSr VP Jun 21, 2018
Corporate DirectorCfo Dec 19, 2018
Marjory J Karlin Individual Corporate DirectorChief Revenue Officer Aug 1, 2024
Operational/Managerial ControlChief Revenue Officer Aug 1, 2024
Florencio Basquez Individual W-2 Managing EmployeeAssociate Director, Enrollments Jul 2, 2018
Anne Williams-Isom Individual Corporate DirectorBoard Member Mar 1, 2022
Corporate DirectorBoard Member Jan 1, 2022
Anita Kawatra Individual Corporate DirectorBoard Member Jan 1, 2019
New York City Health and Hospitals Corporation Organization, New York, NY Non-profit, Chain home office Operational/Managerial Control Dec 1, 2017 100%
Patricia Marthone Individual Corporate DirectorBoard Member Mar 1, 2022
Corporate Director Dec 20, 2021
Feniosky Pena-Mora Individual Corporate DirectorBoard Member Jan 1, 2019
Mitchell H Katz Individual Corporate DirectorBoard Member Jan 8, 2018
Jose Pagan Individual Corporate DirectorBoard Member Jan 1, 2019
Jason Dryden Individual W-2 Managing EmployeeSenior Director, Patient Accounts Dec 5, 2022
Sally Hernandez-Pinero Individual Corporate DirectorBoard Member Jan 1, 2019
Ashwin Vasan Individual Corporate DirectorBoard Member Mar 1, 2022
Corporate DirectorBoard Member Mar 14, 2022
Freda Wang Individual Corporate DirectorBoard Member Jan 1, 2019
Christopher W Goetz Individual W-2 Managing EmployeeSenior Consultant/Mis, Revenue a Jan 1, 2018
New York City Health and Hospitals Corporation Organization, New York, NY Non-profit Operational/Managerial Control Mar 31, 2014 100%
Richard a Minott Individual Corporate DirectorSenior Director, Revenue Cycle Serv Dec 1, 2017
Operational/Managerial ControlSenior Director, Revenue Cycle Serv Dec 1, 2017
Corporate DirectorSenior Director, Revenue Adminis Dec 1, 2017
W-2 Managing EmployeeSenior Director, Revenue Adminis Dec 1, 2017
Walid Michelen Individual Corporate OfficerChief Executive Officer/Cmo Jan 28, 2015
W-2 Managing EmployeeChief Executive Officer/Cmo Jul 1, 2015
Operational/Managerial ControlChief Executive Officer/Cmo Jan 28, 2015
Michelle Morazan Individual Corporate DirectorBoard Member Jan 28, 2015
Steven Banks Individual Corporate DirectorBoard Member Apr 1, 2014
Herman Smith Individual Corporate DirectorBoard Member Jan 28, 2015
Mary T Bassett Individual Corporate DirectorBoard Member Feb 14, 2014
John Rabbia Individual Corporate DirectorBoard Member Jan 28, 2015
Emily a Youssouf Individual Corporate DirectorBoard Member Nov 1, 2006
Ollie Worthy Individual Corporate OfficerChief Finanical Officer Feb 28, 2015
W-2 Managing EmployeeChief Finanical Officer Jul 1, 2015
Operational/Managerial ControlChief Finanical Officer Feb 28, 2015
Plachikkat V Anantharam Individual Corporate OfficerSr. Vice President/Cfo Nov 17, 2015
W-2 Managing EmployeeSr. Vice President/Cfo Nov 17, 2015
Operational/Managerial ControlSr. Vice President/Cfo Nov 17, 2015
Anita Lee Individual Corporate OfficerChief Operating Officer Feb 28, 2015
W-2 Managing EmployeeChief Operating Officer Jul 1, 2015
Operational/Managerial ControlChief Operating Officer Feb 28, 2015
Hermina Palacio Individual Corporate DirectorBoard Member Jan 25, 2016
Lilliam Paoli Individual Corporate DirectorBoard Member Oct 1, 2015
Moises Perez Individual Corporate DirectorBoard Member Jan 28, 2015
Michelle Lewis Individual W-2 Managing Employee Jul 1, 2015
Antoinette Brown Individual Corporate DirectorBoard Member Jan 28, 2015
Helen Arteaga Landaverde Individual Corporate DirectorBoard Member Jan 29, 2016
Denisha Johnson-Williams Individual Corporate DirectorBoard Member Jan 28, 2015
Vivian Bright Individual Corporate DirectorBoard Member Jan 28, 2015
Ramanathan Raju Individual Corporate OfficerPresident Mar 31, 2014
W-2 Managing EmployeePresident Jul 1, 2015
Operational/Managerial ControlPresident Mar 31, 2014
Elissa Macklin Individual Corporate DirectorBoard Member Jan 28, 2015
Anna Lee Individual Corporate DirectorBoard Member Jan 28, 2015
Shena Elrington Individual Corporate DirectorBoard Member Jan 28, 2015
Mark N Page Individual Corporate DirectorBoard Member Dec 20, 2013
Gary S Belkin Individual Corporate DirectorBoard Member Aug 25, 2014
Gordon J Campbell Individual Corporate DirectorBoard Member Apr 9, 2015
Melville E Boufford Individual Corporate DirectorBoard Member Nov 16, 2011

Owners & managing parties with NPI records 34

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

View all 34

All facility ownership & control disclosures 22

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Queens Hospital CenterJamaica, NY, CCN 33S231 Hospital Operational/Managerial Control (100%) Dec 1, 2017
Elmhurst Hospital CenterElmhurst, NY, CCN 330128 Hospital Operational/Managerial Control Jan 1, 2011
Kings County Hospital CenterBrooklyn, NY, CCN 330202 Hospital Operational/Managerial Control (100%) Dec 1, 2017
Metropolitan Hospital CenterNew York, NY, CCN 330199 Hospital Operational/Managerial Control (100%) Dec 1, 2017
Metropolitan Hospital CenterNew York, NY, CCN 33S199 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2011
Metropolitan Hospital CenterNew York, NY, CCN 33T199 Hospital Operational/Managerial Control (100%) Dec 1, 2017
Woodhull Medical & Mental Health CenterBrooklyn, NY, CCN 330396 Hospital Operational/Managerial Control (100%) Dec 1, 2017
Harlem Hospital CenterNew York, NY, CCN 33S240 Hospital Operational/Managerial Control (100%) Mar 10, 2017
Coler Rehabilitation and Nursing Care CenterRoosevelt Island, NY, CCN 335063 Skilled nursing facility Operational/Managerial Control (100%) Mar 31, 2014
St. Nicholas Houses Child Health ClinicNew York, NY, CCN 571032 Federally qualified health center Operational/Managerial Control (100%) Mar 31, 2014
Roberto Clemente Family Guidance CenterNew York, NY, CCN 571021 Federally qualified health center Operational/Managerial Control (100%) Mar 31, 2014
Judson Health CenterNew York, NY, CCN 571031 Federally qualified health center Operational/Managerial Control (100%) Mar 31, 2014
La Clinica de Las AmericasNew York, NY, CCN 571014 Federally qualified health center Operational/Managerial Control (100%) Nov 1, 2006
Williamsburg Community Health CenterBrooklyn, NY, CCN 571094 Federally qualified health center Operational/Managerial Control (100%) Feb 10, 2018
Health Center at GunhillBronx, NY, CCN 571108 Federally qualified health center Operational/Managerial Control (100%) Dec 1, 2017
Greenpoint Community Health CenterBrooklyn, NY, CCN 571109 Federally qualified health center Operational/Managerial Control (100%) Feb 10, 2018
Vanderbilt Avenue Health CenterStaten Island, NY, CCN 571172 Federally qualified health center Operational/Managerial Control (100%) Jul 1, 2018
South Queens Community CenterJamaica, NY, CCN 571161 Federally qualified health center Operational/Managerial Control (100%) Jul 1, 2018
Parsons Community Health CenterJamaica, NY, CCN 571173 Federally qualified health center Operational/Managerial Control (100%) Jul 1, 2018
Woodside Houses Child Health CenterWoodside, NY, CCN 571170 Federally qualified health center Operational/Managerial Control (100%) Jul 1, 2018
Corona District Health CenterCorona, NY, CCN 571168 Federally qualified health center Operational/Managerial Control (100%) Jul 1, 2018
Women's Medical Center at CoronaCorona, NY, CCN 571165 Federally qualified health center Operational/Managerial Control Jul 1, 2018

Owned or controlled facilities with NPI records 11

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 25

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 25

Practitioners & affiliated clinicians

Practitioners 140

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.

View all 140

NPI Registry JSON

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743465600000",
    "number": "1063577831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 WATER ST FL 3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100046010",
            "telephone_number": "646-458-3481",
            "fax_number": "646-458-3434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2094 PITKIN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112073509",
            "telephone_number": "718-240-0559",
            "fax_number": "718-240-0413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW YORK CITY HEALTH AND HOSPITALS CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-22",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A",
        "authorized_official_last_name": "KARLIN",
        "authorized_official_first_name": "MARJI",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHIEF REVENUE OFFICER",
        "authorized_official_telephone_number": "646-458-3481",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01481007",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East New York Diagnostic & Treatment Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "East New York Diagnostic & Treatment Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.