NPIMap

Organization Active NPI

Brookdale Hospital Medical Center

  • Psychiatric Hospital Unit
  • Brooklyn, NY
National Provider Identifier
1316112600
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
Legal business name
BROOKDALE HOSPITAL MEDICAL CENTER
Practice address
One Brookdale Plaza
Department of Psychiatry
Brooklyn, NY 11212
Phone
(718) 240-6059
NPI assigned
Apr 28, 2008
Organization subpart
Yes
Parent organization
BROOKDALE HOSPITAL MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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

Authorized official

Name
Michelle Figueroa
Title
Cfo
Phone
(718) 240-5741

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X Primary

Addresses

Primary practice location

One Brookdale Plaza
Department of Psychiatry
Brooklyn, NY 11212

Mailing address

10101 Avenue D
Brooklyn, NY 11236-1902
Phone (718) 240-8534

Other practice location 1

1545 Atlantic Ave Dept Of
Brooklyn, NY 11213-1122
Phone (718) 240-6059

Other practice location 2

585 Schenectady Ave
Brooklyn, NY 11203-1851
Phone (718) 604-5532

Other identifiers 1

IdentifierTypeStateIssuer
243669MedicaidNY

Other names 1

  • Psychitary Unit Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110726000092 NY Part A Provider - Hospital 4284545799 3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Brooklyn, NY

Hospital certification: CCN 33S233

Legal name
THE BROOKDALE HOSPITAL MEDICAL CENTER
Doing business as
BROOKDALE HOSPITAL MEDICAL CENTER PSYCH UNIT
Organization structure
CorporationNon-profit
Incorporated
Dec 31, 1914 in NY
Enrollment address
1 Brookdale PLZ
Brooklyn, NY 11212-3198
Other Hospital Practice Location
Hospital subgroups
Psychiatric unit

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

Other NPIs on the same Medicare enrollment 3

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

National Provider Directory

National Provider Directory
Tax ID family
Brookdale Hospital and24 organizations share this tax ID, including this one
Part of
Brookdale Hospital and

Other organizations with this tax ID 23

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

View all 23

Ownership & related parties

All disclosed owners & managing parties 20

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

NameRoleSinceShare
Hugh Nelson Individual Corporate DirectorTrustee Mar 26, 2018
Henna White Individual Corporate DirectorSecretary/Treasurer Mar 26, 2018
Alexander Rovt Individual Corporate DirectorChairman Mar 26, 2018
Mark Shelton Individual Corporate DirectorTrustee Mar 26, 2018
Michael Scagnelli Individual Corporate DirectorTrustee Mar 26, 2018
Richard E Green Individual Corporate DirectorTrustee Jun 7, 2018
Joseph J Ciuffo Individual Corporate DirectorTrustee Aug 23, 2018
Nusin Shtern Individual Corporate DirectorTrustee Jun 7, 2018
Michelle Figueroa Individual Corporate OfficerChief Financial Officer Jul 10, 2023
W-2 Managing EmployeeChief Financial Officer Jul 10, 2023
Robert Waterman Individual Corporate DirectorVice Chairman Mar 26, 2018
Aryeh Katzin Individual Corporate DirectorTrustee Jun 7, 2018
Maurice a Reid Individual Corporate DirectorTrustee Jun 7, 2018
Victor Ayala Individual Corporate DirectorTrustee Mar 26, 2018
Reginald Bullock Individual W-2 Managing EmployeeAssistant Secretary May 18, 2014
Hope Mason Individual Corporate DirectorTrustee Mar 26, 2018
Michael L. Nairne Individual Corporate DirectorTrustee Jun 7, 2018
Edna Wells Individual W-2 Managing EmployeeTrustee Jun 7, 2018
Michael R Irwin Individual Corporate DirectorTrustee Mar 26, 2018
One Brooklyn Health System, Inc Organization, Brooklyn, NY Non-profit Operational/Managerial Control Apr 12, 2018
Sofia Novak Individual Corporate DirectorTrustee Aug 23, 2018

Owners & managing parties with NPI records 2

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

NPI Registry JSON

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

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731369600000",
    "number": "1316112600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10101 AVENUE D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112361902",
            "telephone_number": "718-240-8534",
            "fax_number": "718-240-6492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE BROOKDALE PLAZA",
            "address_2": "DEPARTMENT OF PSYCHIATRY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11212",
            "telephone_number": "718-240-6059"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1545 Atlantic Ave Dept Of",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112131122",
            "country_code": "US",
            "telephone_number": "718-240-6059",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "585 Schenectady Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112031851",
            "country_code": "US",
            "telephone_number": "718-604-5532",
            "fax_number": "718-604-5527",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BROOKDALE HOSPITAL MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BROOKDALE HOSPITAL MEDICAL CENTER",
        "enumeration_date": "2008-04-28",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-08",
        "status": "A",
        "authorized_official_last_name": "FIGUEROA",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "718-240-5741"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "243669",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Psychitary Unit",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Psychitary Unit",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.