Victory Memorial Hospital

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

7001032H Issued in NY

Legal business name

VICTORY MEMORIAL HOSPITAL

Practice address

699 92ND St
Brooklyn, NY 11228-3619

Phone

(718) 597-1234

Fax

(718) 567-2576

NPI assigned

Feb 9, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Joseph Mazzella

Title

Dir of Patiient Accounts

Phone

(718) 567-1006

Specialties & licenses 1

Addresses

Other identifiers 4

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1316910599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "699 92ND ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112283619",
            "telephone_number": "718-597-1234",
            "fax_number": "718-567-2576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "699 92ND ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112283619",
            "telephone_number": "718-597-1234",
            "fax_number": "718-567-2576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORY MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-09",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MAZZELLA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "DIR OF PATIIENT ACCOUNTS",
        "authorized_official_telephone_number": "718-567-1006",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NY",
            "license": "7001032H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64E",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00243449",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01196318",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "451",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Victory Family Wellness LLC
• Victory Medical Rehab, P.C.
• Victory Memorial Hospital
• Victory Memorial Hospital
• Victory Memorial Hospital
• Victory Memorial Hospital
• Victory Pharmacy, Inc
• Victory Vision Care Inc.
• Victory Vision Center LLC
• Errol Christopher Victory

• General Acute Care Hospital in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• General Acute Care Hospital in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.