NPIMap

Organization Active NPI

Kingsbrook Jewish Medical Center

  • Adult Day Care Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1073708376
Registry record updated Apr 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
7001033N Issued in NY
Legal business name
KINGSBROOK JEWISH MEDICAL CENTER
Practice address
585 Schenectady Ave
Brooklyn, NY 11203-1851
Phone
(718) 604-5532
Fax
(718) 604-5527
NPI assigned
Sep 10, 2007
Organization subpart
Yes
Parent organization
RUTLAND NURSING HOMEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 13, 2015

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

Authorized official

Name
John Schmitt
Title
SVPF
Phone
(718) 604-5000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 7001033N NY Primary

Addresses

Primary practice location

585 Schenectady Ave
Brooklyn, NY 11203-1851

Mailing address

585 Schenectady Ave
Brooklyn, NY 11203-1851
Phone (718) 604-5000

Other identifiers 1

IdentifierTypeStateIssuer
01221952MedicaidNY

Other names 1

  • Rutland Nursing Home Adult Day Health Care Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Kingsbrook Jewish Med C7 organizations share this tax ID, including this one
Part of
Rutland Nursing Home Inc

Other organizations with this tax ID 6

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428883200000",
    "number": "1073708376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "585 SCHENECTADY AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112031851",
            "telephone_number": "718-604-5000",
            "fax_number": "718-604-5527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 SCHENECTADY AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112031851",
            "telephone_number": "718-604-5532",
            "fax_number": "718-604-5527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGSBROOK JEWISH MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RUTLAND NURSING HOME",
        "enumeration_date": "2007-09-10",
        "last_updated": "2015-04-13",
        "status": "A",
        "authorized_official_last_name": "SCHMITT",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "SVPF",
        "authorized_official_telephone_number": "718-604-5000"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NY",
            "license": "7001033N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01221952",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rutland Nursing Home Adult Day Health Care",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Apr 13, 2015; 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.