NPIMap

Organization Active NPI

The Brookdale Hospital Medical Center

Doing business as Brookdale Hospital Medical Center

  • Dental Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1124166657
Registry record updated Oct 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
THE BROOKDALE HOSPITAL MEDICAL CENTER
Doing business as
Brookdale Hospital Medical Center
OBH Dental at Brookdale
Practice address
1 Brookdale PLZ FL 1
Brooklyn, NY 11212-3139
Phone
(718) 240-6281
Fax
(718) 240-6682
NPI assigned
Feb 5, 2007
Last updated
Oct 17, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
THE BROOKDALE HOSPITAL MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 17, 2025

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

Authorized official

Name
Sally Slone
Title
Credentialing Supervisor
Phone
(718) 240-7143

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1 Brookdale PLZ FL 1
Brooklyn, NY 11212-3139

Mailing address

One Brookdale Plaza
Attn: Chuck Salvo
Brooklyn, NY 11212-3198
Phone (718) 240-5811

Other identifiers 1

IdentifierTypeStateIssuer
00243572MedicaidNY

Other names 2

  • Brookdale Hospital Medical Center Doing business as
  • OBH Dental at Brookdale Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Michael G Mendelsohn24 organizations share this tax ID, including this one
Part of
Michael G Mendelsohn

Other organizations with this tax ID 23

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

View all 23

Locations

1 Brookdale Plz
Fl 1
Brooklyn, NY 11212
Phone (718) 240-6281

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760659200000",
    "number": "1124166657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE BROOKDALE PLAZA",
            "address_2": "ATTN: CHUCK SALVO",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112123198",
            "telephone_number": "718-240-5811",
            "fax_number": "718-240-5805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BROOKDALE PLZ FL 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112123139",
            "telephone_number": "718-240-6281",
            "fax_number": "718-240-6682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BROOKDALE HOSPITAL MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE BROOKDALE HOSPITAL MEDICAL CENTER",
        "enumeration_date": "2007-02-05",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "status": "A",
        "authorized_official_last_name": "SLONE",
        "authorized_official_first_name": "SALLY",
        "authorized_official_title_or_position": "CREDENTIALING SUPERVISOR",
        "authorized_official_telephone_number": "718-240-7143"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00243572",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookdale Hospital Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Brookdale Hospital Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "OBH Dental at Brookdale",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 17, 2025; 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.