Woodhull Medical & Mental Health Center

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

170664 Issued in NY

Legal business name

WOODHULL MEDICAL & MENTAL HEALTH CENTER

Practice address

760 Broadway
Room #3a-30
Brooklyn, NY 11206-5317

Phone

(718) 963-8496

Fax

(718) 963-8501

NPI assigned

Nov 8, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Stephan Petranker, MDNPI 1881767127

Title

Chairman

Phone

(718) 963-8496

Specialties & licenses 1

Addresses

Practitioners 3

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.

• Stephan Petranker, M.D.

  • Anesthesiology Physician
  • Brooklyn, NY
  • NPI 1881767127
  Authorized official Same address or phone
• Cyzar Arca, MD

  • Anesthesiology Physician
  • Brooklyn, NY
  • NPI 1942376173
  NPD (past)
• Tatyana Tsifrinovich, MD

  • Pain Medicine (Anesthesiology) Physician
  • Brooklyn, NY
  • NPI 1437225638
  NPD (past)

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114096492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 CHURCH RD",
            "city": "AIRMONT",
            "state": "NY",
            "postal_code": "109524103",
            "telephone_number": "845-369-7118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 BROADWAY",
            "address_2": "ROOM #3A-30",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112065317",
            "telephone_number": "718-963-8496",
            "fax_number": "718-963-8501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODHULL MEDICAL & MENTAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PETRANKER",
        "authorized_official_first_name": "STEPHAN",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "718-963-8496",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NY",
            "license": "170664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Woodhull Hospital
• Woodhull Hospital
• Woodhull Hospital
• Woodhull Hospital
• Woodhull Hospital
• Woodhull Medical & Mental Health Center
• Woodhull Medical & Mental Health Center
• Woodhull Medical & Mental Health Center
• Woodhull Medical & Mental Health Center
• Woodhull Medical &Mental Health Center

• General Acute Care Hospital in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• General Acute Care Hospital in New York

• 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.

Verify at the official NPI Registry.