NPIMap

Organization Active NPI

Kingsbrook Jewish Medical Center

  • Early Intervention Provider Agency
  • Brooklyn, NY
National Provider Identifier
1104127224
Registry record updated Nov 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
007734-1 Issued in NY
Legal business name
KINGSBROOK JEWISH MEDICAL CENTER
Practice address
1820 E 19TH St Apt 1FL
Brooklyn, NY 11229-3559
Phone
(305) 934-5866
NPI assigned
Nov 4, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2010

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

Authorized official

Name
Ms. Radmila Chaimov
Title
Ota/L
Phone
(347) 492-5292

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 007734-1 NY Primary

Addresses

Primary practice location

1820 E 19TH St Apt 1FL
Brooklyn, NY 11229-3559

Mailing address

1820 E 19TH St Apt 1
Brooklyn, NY 11229-3559
Phone (305) 934-5866

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1288828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288828800000",
    "number": "1104127224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 E 19TH ST APT 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112293559",
            "telephone_number": "305-934-5866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 E 19TH ST APT 1FL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112293559",
            "telephone_number": "305-934-5866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGSBROOK JEWISH MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-04",
        "last_updated": "2010-11-04",
        "status": "A",
        "authorized_official_last_name": "CHAIMOV",
        "authorized_official_first_name": "RADMILA",
        "authorized_official_title_or_position": "OTA/L",
        "authorized_official_telephone_number": "347-492-5292",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "007734-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Nov 4, 2010; 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.