NPIMap

Organization Active NPI

Suny Downstate Medical Center

  • General Acute Care Hospital
  • Farrockaway, NY
National Provider Identifier
1104065689
Registry record updated Feb 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
007920 Issued in NY
Legal business name
SUNY DOWNSTATE MEDICAL CENTER
Practice address
1486 Dunbar Street
Farrockaway, NY 11691
Phone
(718) 471-0798
NPI assigned
Feb 6, 2009
Organization subpart
No

National Provider Directory

National Provider Directory
Tax ID family
Daniel a Spengler269 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPPES NPI Registry

Updated by the provider on Feb 6, 2009

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

Authorized official

Name
Mr. Eddison Samuel Andrews, PA
Title
Physician Assistant
Phone
(718) 270-8961

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 007920 NY Primary

Addresses

Primary practice location

1486 Dunbar Street
Farrockaway, NY 11691

Mailing address

1486 Dunbar St
Far Rockaway, NY 11691-1648
Phone (718) 471-0798

Other identifiers 1

IdentifierTypeStateIssuer
007920OtherNYPA LICENCE #

Other names 1

  • downstate medical Other name

NPI Registry JSON

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

{
    "created_epoch": "1233878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233878400000",
    "number": "1104065689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1486 DUNBAR ST",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116911648",
            "telephone_number": "718-471-0798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1486 DUNBAR STREET",
            "city": "FARROCKAWAY",
            "state": "NY",
            "postal_code": "11691",
            "telephone_number": "718-471-0798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNY DOWNSTATE MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-06",
        "last_updated": "2009-02-06",
        "status": "A",
        "authorized_official_last_name": "ANDREWS",
        "authorized_official_first_name": "EDDISON",
        "authorized_official_middle_name": "SAMUEL",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT",
        "authorized_official_telephone_number": "718-270-8961",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NY",
            "license": "007920",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA LICENCE #",
            "identifier": "007920",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "downstate medical",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Farrockaway, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2009; 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.