NPIMap

Organization Active NPI

Maimonides Medical Center - Maimo Criticare FPP

  • Critical Care Medicine (Internal Medicine) Physician
  • Brooklyn, NY
National Provider Identifier
1265547178
Registry record updated Dec 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
Legal business name
MAIMONIDES MEDICAL CENTER - MAIMO CRITICARE FPP
Practice address
953 49TH St
Suite 511
Brooklyn, NY 11219-2923
Phone
(718) 283-8380
Fax
(718) 283-7884
NPI assigned
Aug 20, 2006
Last updated
Dec 11, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2012

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

Authorized official

Name
Sidney Tessler, MD
Title
Director, Div. of Pulm/Crit Care
Phone
(718) 283-8380

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0200X NY Primary
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X NY

Addresses

Primary practice location

953 49TH St
Suite 511
Brooklyn, NY 11219-2923

Mailing address

953 49TH St
Suite 511
Brooklyn, NY 11219-2923
Phone (718) 283-8380

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040308001234 NY Part B Supplier - Clinic/Group Practice 3476441726 Receives reassigned benefits from 23 practitioners
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

953 49th St
Fl 5
Brooklyn, NY 11219

Practitioners & affiliated clinicians

Practitioners 23

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.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355184000000",
    "number": "1265547178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "953 49TH ST",
            "address_2": "SUITE 511",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112192923",
            "telephone_number": "718-283-8380",
            "fax_number": "718-283-7884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "953 49TH ST",
            "address_2": "SUITE 511",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112192923",
            "telephone_number": "718-283-8380",
            "fax_number": "718-283-7884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIMONIDES MEDICAL CENTER - MAIMO CRITICARE FPP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2012-12-11",
        "status": "A",
        "authorized_official_last_name": "TESSLER",
        "authorized_official_first_name": "SIDNEY",
        "authorized_official_title_or_position": "DIRECTOR, DIV. OF PULM/CRIT CARE",
        "authorized_official_telephone_number": "718-283-8380",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NY",
            "license": null,
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": null,
            "primary": false
        }
    ],
    "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 Dec 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.