Active NPI
Lutheran Medical Center
- Clinic/Center
- Brooklyn, NY
National Provider Identifier
1174627616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- 224855
- Legal business name
- LUTHERAN MEDICAL CENTER
- Practice address
- 3414 Church Ave
Brooklyn, NY 11203-2714 - Phone
- (718) 940-9425
- NPI assigned
- Sep 12, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marc Richard Hilaire, M.D
- Title
- Internist
- Phone
- (718) 940-9425
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | 224855 | NY | Primary |
Addresses
Primary practice location
3414 Church Ave
Brooklyn, NY 11203-2714
Mailing address
1338 E 69TH St
Brooklyn, NY 11234-5703
Phone (718) 251-1231
National Provider Directory
National Provider DirectoryLocations
3414 Church Ave
Brooklyn, NY 11203
Phone (718) 630-2197
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158019200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213574400000",
"number": "1174627616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1338 E 69TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112345703",
"telephone_number": "718-251-1231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3414 CHURCH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112032714",
"telephone_number": "718-940-9425"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LUTHERAN MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-12",
"last_updated": "2008-06-16",
"status": "A",
"authorized_official_last_name": "HILAIRE",
"authorized_official_first_name": "MARC",
"authorized_official_middle_name": "RICHARD",
"authorized_official_title_or_position": "INTERNIST",
"authorized_official_telephone_number": "718-940-9425",
"authorized_official_credential": "M.D"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "NY",
"license": "224855",
"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 Jun 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.