NPIMap

Organization Active NPI

Beth Israel Medical Center

  • General Acute Care Hospital
  • Brooklyn, NY
National Provider Identifier
1174689665
Registry record updated Sep 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
7002002H Issued in NY
Legal business name
BETH ISRAEL MEDICAL CENTER
Practice address
3201 Kings Hwy
Brooklyn, NY 11234-2625
Phone
(646) 605-6009
Fax
(212) 256-3080
NPI assigned
Dec 29, 2006
Last updated
Sep 21, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2026

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

Authorized official

Name
Mr. Debra Jaeger
Title
Sr Vice President
Phone
(646) 605-7350

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X 7002002H NY
Rehabilitation Hospital Unit 273Y00000X 7002002H NY
Substance Use Disorder Rehabilitation Hospital Unit 276400000X 7002002H NY
General Acute Care Hospital 282N00000X 7001041H NY
General Acute Care Hospital 282N00000X 7002002H NY Primary

Addresses

Primary practice location

3201 Kings Hwy
Brooklyn, NY 11234-2625

Mailing address

1 Gustave L Levy Place
Box 1011
New York, NY 10029
Phone (646) 605-4111

Other practice location 1

First Avenue and 16th Street
Milton and Carroll Petrie Division
New York, NY 10003-3105
Phone (212) 420-2000

Other identifiers 6

IdentifierTypeStateIssuer
000003OtherNYBLUE CROSS
01597108MedicaidNY
000135OtherNYBLUE CROSS
00243105MedicaidNY
02568243MedicaidNY
00710430MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090506000153 NY Part A Provider - Hospital 5395653042 2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: New York, NY; Brooklyn, NY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1174689665. Details of each certification follow.

Hospital certification: CCN 330169

Legal name
BETH ISRAEL MEDICAL CENTER
Doing business as
BETH ISRAEL MEDICAL CENTER KINGS HIGHWAY DIVISION
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Sep 13, 2013
Beds
1,111
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Enrollment address
3201 Kings Hwy
Brooklyn, NY 11234-2625
Main/Primary Hospital Location
Hospital subgroups
Acute care, Psychiatric, Rehabilitation, Other

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Mount Sinai Beth IsraelCCN 330169 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Michael F Gioscia MD26 organizations share this tax ID, including this one

Other organizations with this tax ID 25

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

View all 25

Ownership & related parties

All disclosed owners & managing parties 22

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Eric Mindich Individual Corporate DirectorBoard of Director Sep 1, 2016
Frank Bisignano Individual Corporate DirectorBoard of Directors Dec 24, 2019
John S Winkleman Individual Corporate DirectorBoard of Directors Sep 1, 2016
Susan Cullman Individual Corporate DirectorBoard of Directors Dec 24, 2019
Denis Donegan Individual Corporate OfficerVice President Jan 1, 2022 100%
W-2 Managing EmployeeVice President Jan 1, 2022 100%
Operational/Managerial ControlVice President Jan 1, 2022 100%
John a Levin Individual Corporate DirectorBoard of Directors Sep 1, 2016
Robert Savage Individual Corporate DirectorBoard of Directors Dec 24, 2019
Joel S. Ehrenkranz Individual Corporate DirectorBoard of Director Sep 1, 2016
Richard a Friedman Individual Corporate Director Jan 1, 2022
James E Flynn Individual Corporate DirectorBoard of Directors Dec 24, 2019
Thomas W Strauss Individual Corporate DirectorBoard of Directors Sep 1, 2016
James Neary Individual Corporate DirectorBoard of Director Dec 19, 2019
William Wright Individual Corporate DirectorBoard of Directors Dec 24, 2019
Henry M Calderon Individual Corporate DirectorBoard of Directors Dec 19, 2019
James S Tisch Individual Corporate DirectorBoard of Directors Dec 24, 2019
John B Hess Individual Corporate DirectorBoard of Directors Sep 1, 2016
Steven Hochberg Individual Corporate DirectorBoard of Directors Sep 1, 2016
Judith O Rubin Individual Corporate DirectorBoard of Directors Sep 1, 2016
Louis Pell Individual Corporate DirectorBoard of Directors Dec 24, 2019
James Gogel Individual Corporate DirectorBoard of Director Sep 1, 2016
Michael Zimmerman Individual Corporate DirectorBoard of Directors Dec 24, 2019
Michael Minikes Individual Corporate DirectorBoard of Directors Dec 24, 2019

Practitioners & affiliated clinicians

Practitioners 58

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.

View all 58

Affiliated clinicians 779

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 779

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789948800000",
    "number": "1174689665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GUSTAVE L LEVY PLACE",
            "address_2": "BOX 1011",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10029",
            "telephone_number": "646-605-4111",
            "fax_number": "212-256-3080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 KINGS HWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112342625",
            "telephone_number": "646-605-6009",
            "fax_number": "212-256-3080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "First Avenue and 16th Street",
            "address_2": "Milton and Carroll Petrie Division",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100033105",
            "country_code": "US",
            "telephone_number": "212-420-2000",
            "fax_number": "212-256-3594",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BETH ISRAEL MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2026-09-21",
        "certification_date": "2026-09-21",
        "status": "A",
        "authorized_official_last_name": "JAEGER",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "SR VICE PRESIDENT",
        "authorized_official_telephone_number": "646-605-7350",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "NY",
            "license": "7002002H",
            "primary": false
        },
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "NY",
            "license": "7002002H",
            "primary": false
        },
        {
            "code": "276400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation, Substance Use Disorder Unit",
            "state": "NY",
            "license": "7002002H",
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NY",
            "license": "7001041H",
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NY",
            "license": "7002002H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "000003",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01597108",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "000135",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00243105",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02568243",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00710430",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.