NPIMap

Organization Active NPI

University Hospital of Brooklyn Suny Downstate Health Sciences Univers

Doing business as University Hospital of Brooklyn

  • Rehabilitation Hospital Unit
  • Brooklyn, NY
National Provider Identifier
1285693275
Registry record updated Jul 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
License
7001037H Issued in NY
Legal business name
UNIVERSITY HOSPITAL OF BROOKLYN SUNY DOWNSTATE HEALTH SCIENCES UNIVERS
Doing business as
University Hospital of Brooklyn
Practice address
445 Lenox Rd
Brooklyn, NY 11203-2017
Phone
(718) 826-4931
Fax
(718) 826-5045
NPI assigned
Mar 20, 2006
Last updated
Jul 5, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2022

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

Authorized official

Name
Sean P Smith, CPA
Title
Sr Associate VP/Deputy Cfo
Phone
(718) 826-4943

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X 7001037H NY Primary

Addresses

Primary practice location

445 Lenox Rd
Brooklyn, NY 11203-2017

Mailing address

445 Lenox Rd
P.O. Box 3
Brooklyn, NY 11203-2017
Phone (718) 826-4931

Other names 1

  • University Hospital of Brooklyn Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211230001742 NY Part A Provider - Hospital 7113318122 2 other NPIs on this enrollment
Practice locations: Brooklyn, NY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1285693275. Details of each certification follow.

Hospital certification: CCN 33T350

Legal name
UNIVERSITY HOSPITAL OF BROOKLYN SUNY DOWNSTATE HEALTH SCIENCES UNIVERS
Organization structure
GovernmentNon-profit
Enrollment address
445 Lenox Rd
Brooklyn, NY 11203-2017
Hospital Rehabilitation Unit
Hospital subgroups
Rehabilitation unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Suny Downstate Medical CenterCCN 33T350 · All quality measures
Ownership
Government
Certified
Jan 1, 1986

National Provider Directory

National Provider Directory
Tax ID family
University Hospital of Brooklyn Suny Downstate Health Sciences Univers5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

2701 Chester Ave
#102
Bakersfield, CA 93301
Phone (661) 637-8857

1635 Divisadero St
Ste 520
San Francisco, CA 94115
Phone (415) 353-2311

400 Parnassus Ave
Fl 7
San Francisco, CA 94143
Phone (415) 353-1551

711 Parkside Ave
Brooklyn, NY 11226

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
State of New York Comptrollers Office Organization, Albany, NY Non-profit 5% Or Greater Indirect Ownership Interest Dec 22, 1966
Sean P Smith Individual W-2 Managing EmployeeSr Associate VP/Deputy Cfo Nov 24, 2020 100%

Owners & managing parties with NPI records 16

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

View all 16

Facilities with the same owner 12

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 21

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 21

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656979200000",
    "number": "1285693275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 LENOX RD",
            "address_2": "P.O. BOX 3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112032017",
            "telephone_number": "718-826-4931",
            "fax_number": "718-826-5045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 LENOX RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112032017",
            "telephone_number": "718-826-4931",
            "fax_number": "718-826-5045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY HOSPITAL OF BROOKLYN SUNY DOWNSTATE HEALTH SCIENCES UNIVERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-20",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "SR ASSOCIATE VP/DEPUTY CFO",
        "authorized_official_telephone_number": "718-826-4943",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "NY",
            "license": "7001037H",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "University Hospital of Brooklyn",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.