Organization Active NPI

The Brookdale Hospital Medical Center

  • Multi-Specialty Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1265476907
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
THE BROOKDALE HOSPITAL MEDICAL CENTER
Practice address
1 Brookdale PLZ
2 CHC
Brooklyn, NY 11212-3139
Phone
(718) 240-5015
NPI assigned
Jun 15, 2006
Last updated
May 13, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
BROOKDALE HOSPITAL MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 13, 2025

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

Authorized official

Name
Charles Salvo
Title
Senior Vice President
Phone
(718) 240-8516

Specialties & licenses 1

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

Addresses

Primary practice location

1 Brookdale PLZ
2 CHC
Brooklyn, NY 11212-3139

Mailing address

1 Brookdale PLZ
Executive Office
Brooklyn, NY 11212-3198
Phone (718) 240-8516

Other identifiers 1

IdentifierTypeStateIssuer
00610013MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Brookdale Hospdiv of C24 organizations share this tax ID, including this one
Part of
Brookdale Hospdiv of C

Other organizations with this tax ID 23

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

View all 23

Locations

1 Brookdale Plz
#2
Brooklyn, NY 11212
Phone (718) 240-5015

1 Brookdale Plz
Ofc
Brooklyn, NY 11212
Phone 7182405000 ext. 5435

1 Brookdale Plz
Ste 666
Brooklyn, NY 11212

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747094400000",
    "number": "1265476907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BROOKDALE PLZ",
            "address_2": "EXECUTIVE OFFICE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112123198",
            "telephone_number": "718-240-8516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BROOKDALE PLZ",
            "address_2": "2 CHC",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112123139",
            "telephone_number": "718-240-5015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BROOKDALE HOSPITAL MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BROOKDALE HOSPITAL MEDICAL CENTER",
        "enumeration_date": "2006-06-15",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-05",
        "status": "A",
        "authorized_official_last_name": "SALVO",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
        "authorized_official_telephone_number": "718-240-8516"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00610013",
            "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 May 13, 2025; 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.