NPIMap

Organization Active NPI

Caledonian Health Center

  • Multi-Specialty Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1184657355
Registry record updated Jun 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
CALEDONIAN HEALTH CENTER
Practice address
1280 Dekalb Ave
Brooklyn, NY 11221-3204
Phone
(718) 488-3736
NPI assigned
Jul 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2008

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

Authorized official

Name
Bernadette Selby
Title
Director of Patient Accounting
Phone
(718) 488-3736

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

1280 Dekalb Ave
Brooklyn, NY 11221-3204

Mailing address

270 Flatbush Avenue Ext
C/O Bernadette Selby, Dir. Patient Accounting
Brooklyn, NY 11201-3012
Phone (718) 488-3736

Other identifiers 2

IdentifierTypeStateIssuer
02461452MedicaidNY
287OtherNYEMPIRE BLUE CROSS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 96

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 96

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214524800000",
    "number": "1184657355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 FLATBUSH AVENUE EXT",
            "address_2": "C/O BERNADETTE SELBY, DIR. PATIENT ACCOUNTING",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112013012",
            "telephone_number": "718-488-3736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1280 DEKALB AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112213204",
            "telephone_number": "718-488-3736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALEDONIAN HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2008-06-27",
        "status": "A",
        "authorized_official_last_name": "SELBY",
        "authorized_official_first_name": "BERNADETTE",
        "authorized_official_title_or_position": "DIRECTOR OF PATIENT ACCOUNTING",
        "authorized_official_telephone_number": "718-488-3736"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02461452",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BLUE CROSS",
            "identifier": "287",
            "state": "NY"
        }
    ],
    "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 27, 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.

Verify at the official NPI Registry.