New York Community Hospital of Brooklyn Inc
Organization Active NPI General Acute Care Hospital · Brooklyn, NY
NPI 1215030697 · NPPES record last updated Mar 17, 2022
Key facts
- NPI
- 1215030697
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 282N00000X
- Legal business name
- NEW YORK COMMUNITY HOSPITAL OF BROOKLYN INC
- Practice address
- 2525 Kings Hwy
Brooklyn, NY 11229-1705 - Phone
- (518) 299-1667
- Fax
- (718) 692-5309
- NPI assigned
- Sep 7, 2006
- Organization subpart
- No
Authorized official
- Name
- Julius Derdik
- Title
- Cao
- Phone
- (518) 284-8237
Owners & managing parties with NPI records 6
-
Harry Adler, MD
-
Donna Astion, MD
-
George CHI Kao Liu, M.D., PH.D.
Other NPIs on the same Medicare enrollment 1
Other NPIs with the same Medicare PAC ID 1
Member of 1
Facilities with the same owner 1
Practitioners 66
-
Lisa Stacy Tharler, D.O.
-
Rafiq Baksh, M.D.
-
Mikhail Grinberg, MD
-
Marina Krasitskaya, FNP
-
Joseph Lebowicz, MD
-
Abhinav Singh, M.D.
-
Inna Sominsky, M.D.
-
Cristal Torres, NP
-
Jing Ying Yuan Li, PA-C
-
Ammad Arif, M.D.
-
Haytham Atileh, M.D.
-
Dylan Bobrow, MD
-
Shernette P Dunn, NURSE PRACTITIONER
-
Frances Necci, RN
-
Erin Kimberly Stern, PA-C
-
Camille Gerard Armand, M.D.
-
Sumit De, M.D.
-
Mansoor Farooki, MD
-
Saul Ezra Harari, MD
-
Shaya Khabyeh-Hasbani, M.D.
Affiliated clinicians 244
-
Immaculeta Achilike, M.D., M.P.H.
-
Daniel Addess, M.D.
-
Aleksandar Adzic, M.D.
-
Mahmoud Almadani, MD
-
Ammad Arif, M.D.
-
Nathan Arister, DO
-
Camille Gerard Armand, M.D.
-
Haytham Atileh, M.D.
-
Judy Auguste, NP
-
Isaia Avraham, M.D.
-
Sergey Ayzenberg, M.D
-
Omar Philip Azar, M.D.
-
Neyra Azimov, MD
-
Aaron H. Berger, MD
-
David Berlach, MD CM
-
Michael Bezuevsky, D.O.
-
Ilya A Blokh, M.D.
-
Dylan Bobrow, MD
Medicare Care Compare: Hospital
- Listed as
- New York Community Hospital of Brooklyn, Inc.
- Overall star rating
- ★☆☆☆☆ 1 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 (3 enrollments) in NY
Hospital certification: CCN 330019
- Legal name
- NEW YORK COMMUNITY HOSPITAL OF BROOKLYN INC
- Doing business as
- NEW YORK COMMUNITY HOSPITAL
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jul 1, 1966
- Last certification
- Apr 25, 2025
- Beds
- 134
- Ownership / control type
- Private (not for profit)
- Organization structure
- Corporation · Non-profit
- Incorporated
- Aug 27, 1945 in NY
- Enrollment address
- 2525 Kings Hwy
Brooklyn, NY 11229-1705 - Hospital subgroups
- Acute care
All disclosed owners & managing parties 37
| Name | Role | Since | Share |
|---|---|---|---|
| David Spira |
Corporate Director | Jun 29, 2021 | |
| Aaron D Twerski |
Corporate Director | Jun 29, 2021 | |
| Paul Addison |
Corporate Director | Jun 29, 2021 | |
| Joseph F. Bruno |
Corporate Director | Jun 29, 2021 | |
| Laurie E Weinstein |
Corporate Director | Jun 29, 2021 | |
| Frank Naccarato |
Corporate Director | Jun 29, 2021 | |
| Richard D Forman |
Corporate Director | Jun 29, 2021 | |
| Jack a Hidary |
Corporate Director | Jun 29, 2021 | |
| Alexander Rovt |
Corporate Director | Jun 29, 2021 | |
| Kenneth D Gibbs |
Corporate Director | Jun 29, 2021 | |
| Chaim H Leshkowitz |
Corporate Director | Jun 29, 2021 | |
| Mary G. Singh |
Corporate Director | Jun 29, 2021 | |
| Lofton P. Holder |
Corporate Director | Jun 29, 2021 | |
| Trevor Price |
Corporate Director | Jun 29, 2021 | |
| Robert Ren |
Contracted Managing Employee |
Apr 4, 2022 | |
| Corporate Director |
Apr 4, 2022 | ||
| Jeremy M. Glick |
Corporate Director | Jun 29, 2021 | |
| Julius Derdik |
Corporate Officer |
Apr 1, 2001 | |
| Harold L Adler |
Corporate Director | Jun 29, 2021 | |
| George Weinberger |
Corporate Officer | Aug 1, 1989 | |
| Corporate Director | Jun 29, 2021 | ||
| Donna J Astion |
Corporate Director | Jun 29, 2021 | |
| Richard Barasch |
Corporate Director | Jun 29, 2021 | |
| Mortimer N Klaus |
Corporate Director | Jun 29, 2021 | |
| Maimonides Health Resources Inc |
5% Or Greater Indirect Ownership Interest | Jun 29, 2021 | 100% |
| Donald Meltzer |
Corporate Director | Jun 29, 2021 | |
| Robert B Machinist |
Corporate Director | Jun 29, 2021 | |
| Peter E Rebenwurzel |
Corporate Director | Jun 29, 2021 | |
| Azzam R. Obeid |
Corporate Director | Jun 29, 2021 | |
| George C.K. Liu |
Corporate Director | Jun 29, 2021 | |
| Chaim Fischer |
Corporate Director | Jun 29, 2021 | |
| Barry W Stern |
Corporate Officer | Feb 18, 2014 | |
| Erminia Rivera |
Corporate Director | Jun 29, 2021 | |
| Eugene Keilin |
Corporate Director | Jun 29, 2021 | |
| Martin D Payson |
Corporate Director | Jun 29, 2021 | |
| Irene Delizzo |
Corporate Officer | Sep 1, 2012 | |
| Maimonides Medical Center |
5% Or Greater Direct Ownership Interest | Jun 29, 2021 | 100% |
| Michael L Ziegler |
Corporate Director | Jun 29, 2021 | |
| David M Cassato |
Corporate Director | Jun 29, 2021 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110309000874 | NY | Part a Provider - Hospital | 6901798016 | Practice locations: Brooklyn, NY |
| O20180417000319 | NY | Part B Supplier - Hospital Department(S) | 6901798016 |
Receives reassigned benefits from 53 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Brooklyn, NY |
| O20230130000354 | NY | Part B Supplier - Clinic/Group Practice | 6901798016 |
Receives reassigned benefits from 14 practitioners Practice locations: Brooklyn, NY |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | Yes |
Addresses
Primary practice location
2525 Kings Hwy
Brooklyn, NY 11229-1705
Mailing address
2525 Kings Hwy
Brooklyn, NY 11229-1705
Phone (518) 299-1667
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000076 | Other | NY | EBCBS |
| 00243696 | Medicaid | NY |
Other providers in Brooklyn, NY
- New York City Health and Hospitals Corporation
- New York City Healthcare Medical Services LLC
- New York City Ophthalmology, P.C.
- New York City Plastic Surgery, P.C.
- New York Community Aid Center Inc
- New York Community Hospital of Brooklyn Inc
- New York Community Hospital of Brooklyn Inc
- New York Community Hospital of Brooklyn Inc
- New York Community Hospital of Brooklyn, Inc.
- New York Community Medical & Surgical PC
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 Mar 17, 2022. 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.