NPIMap

Organization Active NPI

Brookdale Family Care Center, Inc.

  • Multi-Specialty Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1306984091
Registry record updated Oct 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
BROOKDALE FAMILY CARE CENTER, INC.
Practice address
465 New Lots Ave
Brooklyn, NY 11207-6414
Phone
(718) 240-8900
Fax
(718) 240-8926
NPI assigned
Feb 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2025

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

Authorized official

Name
Mr. Charles Salvo
Title
Senior Vice President
Phone
(718) 240-6374

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

465 New Lots Ave
Brooklyn, NY 11207-6414

Mailing address

1 Brookdale PLZ
6TH Floor Strausberg
Brooklyn, NY 11212-3198
Phone (718) 240-6374

Other identifiers 1

IdentifierTypeStateIssuer
01681227MedicaidNY

Other names 1

  • BROOKDALE FAMILY CARE CENTER Doing business as

National Provider Directory

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

Other organizations with this tax ID 3

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

Locations

1749 E 16th St
Ste 1
Brooklyn, NY 11229
Phone (718) 375-2333

1 Brookdale Plz
Fl 6
Brooklyn, NY 11212

1 Brookdale Plz
Ste 666
Brooklyn, NY 11212

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760659200000",
    "number": "1306984091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BROOKDALE PLZ",
            "address_2": "6TH FLOOR STRAUSBERG",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112123198",
            "telephone_number": "718-240-6374",
            "fax_number": "718-240-5805"
        },
        {
            "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": "718-240-8900",
            "fax_number": "718-240-8926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKDALE FAMILY CARE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "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",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01681227",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BROOKDALE FAMILY CARE CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BROOKDALE FAMILY CARE CENTER",
            "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 Oct 17, 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.