Active NPI
Maimonides Medical Center
- Chronic Disease Hospital
- Brooklyn, NY
National Provider Identifier
1225258452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chronic Disease Hospital
- License
- 010910
- Legal business name
- MAIMONIDES MEDICAL CENTER
- Practice address
- 4802 10TH Ave
Brooklyn, NY 11219-2916 - Phone
- (718) 283-6000
- NPI assigned
- Apr 30, 2007
- Last updated
- Aug 22, 2020
- 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
- Christine Marie Perito, RPA-C
- Title
- Physician Assistant
- Phone
- (917) 613-4350
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chronic Disease Hospital | 281P00000X | 010910 | NY | Primary |
Addresses
Primary practice location
4802 10TH Ave
Brooklyn, NY 11219-2916
Mailing address
1935 Shore Pkwy Apt 16B
Brooklyn, NY 11214-7116
Phone (347) 374-3989
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177891200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1225258452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1935 SHORE PKWY APT 16B",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112147116",
"telephone_number": "347-374-3989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4802 10TH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112192916",
"telephone_number": "718-283-6000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAIMONIDES MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-30",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "PERITO",
"authorized_official_first_name": "CHRISTINE",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "PHYSICIAN ASSISTANT",
"authorized_official_telephone_number": "917-613-4350",
"authorized_official_credential": "RPA-C"
},
"taxonomies": [
{
"code": "281P00000X",
"taxonomy_group": "",
"desc": "Chronic Disease Hospital",
"state": "NY",
"license": "010910",
"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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.