Beth Israel Medical Center
Organization Active NPI General Acute Care Hospital · Brooklyn, NY
NPI 1174768071 · NPPES record last updated Apr 15, 2019
Key facts
- NPI
- 1174768071
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 282N00000X
- License
- 7001041H (NY)
- Legal business name
- BETH ISRAEL MEDICAL CENTER
- Practice address
- 3201 Kings Hwy
Brooklyn, NY 11234-2625 - Phone
- (212) 256-3027
- Fax
- (212) 256-3595
- NPI assigned
- Dec 5, 2008
- Organization subpart
- Yes
- Parent organization (as reported)
- BETH ISRAEL MEDICAL CENTER
Authorized official
- Name
- Mr. Kenneth Barritt
- Title
- Senior Vice President
- Phone
- (646) 605-4217
Other NPIs on the same Medicare enrollment 2
Other NPIs with the same Medicare PAC ID 2
Corporate family (same tax ID) 25
Related certifications (CCN) 1
Practitioners 52
-
Marco Albian, MD
-
Mariam Azam, MD
-
Melissa Jennifer Baldwin, M.D.
-
Serge Balmir Jr., D.O.
-
Zachary Zinovy Brener, M.D,
-
Rose-Marie Carrera, M.D., FACC
-
Daniel Charnoff, M.D.
-
Svetlana Chernyavsky, D.O.
-
Radfan M Gazali, M.D.
-
Gary A. Gwertzman, M.D.
-
Gerard K Hanley, M.D.
-
Jack Husney, M.D.
-
Joseph Husney, MD
-
Robert Husney, MD
-
Alexey Isakov, MD
-
Ezra Ceasar Israel, M.D.
-
Jack Janani, M.D.
-
Murray Jonas, MD
Affiliated clinicians 779
-
Vivian M Abascal, MD
-
Genevieve Nguyen Abbey, M.D.
-
Lisa Lynn Abramson, M.D.
-
Cesar Abuchaibe, MD
-
Debora Afezolli, M.D.
-
Amit Aggarwal, M.D.
-
Veevek Agrawal, DO
-
Christine Akoh, MD, PHD
-
Marco Albian, MD
-
Robert Arthur Aldoroty, MD, PHD
-
Karina Aloferdova, FNP
-
Emre Altinmakas, MD
-
Maurice Alwaya, MD
-
Alex Amberg, MD
-
Konica Amin, MSN, RN, FNP-BC
-
Shyam Amin, MD
-
Sassan Amir Andalibi, M.D.
Medicare Care Compare: Hospital
- Listed as
- Mount Sinai Beth Israel
- Overall star rating
- ★★★☆☆ 3 of 5
- Type
- Acute Care Hospitals
- Ownership
- Voluntary non-profit - Private
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
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
- Corporation · Non-profit
- Enrollment address
- 3201 Kings Hwy
Brooklyn, NY 11234-2625 - Hospital subgroups
- Acute care, Psychiatric, Rehabilitation, Other
All disclosed owners & managing parties 22
| Name | Role | Since | Share |
|---|---|---|---|
| Eric Mindich |
Corporate Director |
Sep 1, 2016 | |
| Frank Bisignano |
Corporate Director |
Dec 24, 2019 | |
| John S Winkleman |
Corporate Director |
Sep 1, 2016 | |
| Susan Cullman |
Corporate Director |
Dec 24, 2019 | |
| Denis Donegan |
Corporate Officer |
Jan 1, 2022 | 100% |
| W-2 Managing Employee |
Jan 1, 2022 | 100% | |
| Operational/Managerial Control |
Jan 1, 2022 | 100% | |
| John a Levin |
Corporate Director |
Sep 1, 2016 | |
| Robert Savage |
Corporate Director |
Dec 24, 2019 | |
| Joel S. Ehrenkranz |
Corporate Director |
Sep 1, 2016 | |
| Richard a Friedman |
Corporate Director | Jan 1, 2022 | |
| James E Flynn |
Corporate Director |
Dec 24, 2019 | |
| Thomas W Strauss |
Corporate Director |
Sep 1, 2016 | |
| James Neary |
Corporate Director |
Dec 19, 2019 | |
| William Wright |
Corporate Director |
Dec 24, 2019 | |
| Henry M Calderon |
Corporate Director |
Dec 19, 2019 | |
| James S Tisch |
Corporate Director |
Dec 24, 2019 | |
| John B Hess |
Corporate Director |
Sep 1, 2016 | |
| Steven Hochberg |
Corporate Director |
Sep 1, 2016 | |
| Judith O Rubin |
Corporate Director |
Sep 1, 2016 | |
| Louis Pell |
Corporate Director |
Dec 24, 2019 | |
| James Gogel |
Corporate Director |
Sep 1, 2016 | |
| Michael Zimmerman |
Corporate Director |
Dec 24, 2019 | |
| Michael Minikes |
Corporate Director |
Dec 24, 2019 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090506000153 | NY | Part a Provider - Hospital | 5395653042 |
2 other NPIs on this enrollment Practice locations: New York, NY; Brooklyn, NY |
National Provider Directory
- Tax ID family
- Sarah H Beaton
- Part of
- Sarah H Beaton
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 7001041H | NY | Yes |
Addresses
Primary practice location
3201 Kings Hwy
Brooklyn, NY 11234-2625
Mailing address
160 Water St
Suite 2329
New York, NY 10038-4922
Phone (212) 256-3027
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00135 | Other | NY | BLUE CROSS |
| 00243105 | Medicaid | NY |
Other names
- Kings Highway Division
Other providers in Brooklyn, NY
- Yarona Betesh
- Beth Emeth Home Attendant Service, Inc.
- Beth Israel Ambulatory Care Services Corp
- Beth Israel Medical
- Beth Israel Medical Center
- Beth Israel Medical Center
- Beth Kelly Autism & Associates
- Beth Manitsky
- Beth Warren Nutrition
- Beth Warren Nutrition LLC
All providers in Brooklyn, NY · General Acute Care Hospital in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 15, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.