NPIMap

Organization Active NPI

Saint Vincent Catholic Medical Center

  • Primary Care Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1235464538
Registry record updated Oct 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
7002037H Issued in NY
Legal business name
SAINT VINCENT CATHOLIC MEDICAL CENTER
Practice address
9920 Fourth Avenue
#305
Brooklyn, NY 11209
Phone
(718) 748-5091
Fax
(718) 748-5119
NPI assigned
Oct 5, 2009
Last updated
Oct 5, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2009

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

Authorized official

Name
Dr. John Burkhart, MDNPI 1164465894
Title
VP & Medical Director
Phone
(212) 356-4903

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 7002037H NY Primary

Addresses

Primary practice location

9920 Fourth Avenue
#305
Brooklyn, NY 11209

Mailing address

450 W 33Rd St
New York, NY 10001-2603
Phone (212) 356-4419

Other identifiers 1

IdentifierTypeStateIssuer
00243229MedicaidNY

Other names 1

  • Bay Ridge Family Health Center Other name

National Provider Directory

National Provider Directory
Tax ID family
Saint Vincents Catholic Med CTRS17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

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

View all 16

Locations

9920 4th Ave
Ste 305
Brooklyn, NY 11209
Phone (718) 748-5091

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1254700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254700800000",
    "number": "1235464538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 W 33RD ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100012603",
            "telephone_number": "212-356-4419",
            "fax_number": "212-356-4433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9920 FOURTH AVENUE",
            "address_2": "#305",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11209",
            "telephone_number": "718-748-5091",
            "fax_number": "718-748-5119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT VINCENT CATHOLIC MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-05",
        "last_updated": "2009-10-05",
        "status": "A",
        "authorized_official_last_name": "BURKHART",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "VP & MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "212-356-4903",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "7002037H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00243229",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bay Ridge Family Health Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Oct 5, 2009; 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.