NPIMap

Organization Active NPI

Brookdale Family Care Center, Inc.

Doing business as BFCC Flatbush

  • Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1285758771
Registry record updated Nov 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
BROOKDALE FAMILY CARE CENTER, INC.
Doing business as
BFCC Flatbush
Practice address
465 New Lots Ave
Brooklyn, NY 11207-6414
Phone
(718) 240-8950
NPI assigned
Mar 19, 2007
Last updated
Nov 11, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
BROOKDALE FAMILY CARE CENTER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 11, 2024

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) 240-6374

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

465 New Lots Ave
Brooklyn, NY 11207-6414

Mailing address

1 Brookdale PLZ
Brooklyn, NY 11212-3198
Phone (718) 240-6374

Other identifiers 1

IdentifierTypeStateIssuer
W32561MedicaidNY

Other names 1

  • BFCC Flatbush Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040226001107 NY Part B Supplier - Clinic/Group Practice 7315833159 Receives reassigned benefits from 123 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Brooklyn, NY

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory
Tax ID family
Brookdale Family Care4 organizations share this tax ID, including this one
Part of
Brookdale Family Care

Other organizations with this tax ID 3

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

Practitioners & affiliated clinicians

Practitioners 119

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 119

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731283200000",
    "number": "1285758771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BROOKDALE PLZ",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112123198",
            "telephone_number": "718-240-6374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 NEW LOTS AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112076414",
            "telephone_number": "718-240-8950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKDALE FAMILY CARE CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BROOKDALE FAMILY CARE CENTER, INC.",
        "enumeration_date": "2007-03-19",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A",
        "authorized_official_last_name": "SALVO",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
        "authorized_official_telephone_number": "718-240-6374"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "W32561",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BFCC Flatbush",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 11, 2024; 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.