Organization Active NPI

The Brooklyn Hospital Center

  • General Acute Care Hospital
  • Brooklyn, NY
National Provider Identifier
1326046467
Registry record updated Apr 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
7001003H Issued in NY
Legal business name
THE BROOKLYN HOSPITAL CENTER
Practice address
121 Dekalb Ave
Brooklyn, NY 11201-5425
Phone
(718) 488-3736
NPI assigned
Jul 12, 2005
Last updated
Apr 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2024

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

Authorized official

Name
Nelson Ferrereas
Title
VP of Revenue Cycle
Phone
(718) 488-3736

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NY
General Acute Care Hospital 282N00000X 7001003H NY Primary

Addresses

Primary practice location

121 Dekalb Ave
Brooklyn, NY 11201-5425

Mailing address

121 Dekalb Ave
Brooklyn, NY 11201-5425
Phone (718) 488-3736

Other identifiers 2

IdentifierTypeStateIssuer
00243614MedicaidNY
287OtherNYBLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20060816000206 NY Part A Provider - Hospital 4385535715 Practice locations: Brooklyn, NY
O20190612000760 NY DME Supplier - Pharmacy 4385535715 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Brooklyn, NY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1326046467. Details of each certification follow.

Hospital certification: CCN 330056

Legal name
THE BROOKLYN HOSPITAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Nov 18, 2022
Beds
464
Ownership / control type
Other
Organization structure
CorporationNon-profit
Incorporated
May 8, 1845 in NY
Enrollment address
121 Dekalb Ave
Brooklyn, NY 11201-5425
Other Hospital Practice Location
Hospital subgroups
General, Acute care, Children’s, Rehabilitation, Short-term, Rehabilitation unit, Specialty hospital

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: Hospital

Medicare Care Compare
Listed as
Brooklyn Hospital Center - Downtown CampusCCN 330056 · All quality measures
Overall star rating
2 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Other
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
NFSG Veterans Health System107 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 16

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 16

Locations

270 Flatbush Avenue Ext
Brooklyn, NY 11201
Phone (718) 488-3736

Ownership & related parties

All disclosed owners & managing parties 33

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

NameRoleSinceShare
Bernard Dayton Individual Corporate Director Dec 1, 2010
Donald Minarcik Individual Corporate Director Dec 1, 2010
W-2 Managing Employee Dec 1, 2010
Martha Bakos Dietz Individual Corporate Director May 1, 2021
Jessie McClintock Kelly Individual Corporate Director Jun 1, 2020
Lenue H Singletary Individual Corporate Director Sep 1, 2014
Keith Leonard Kinch Individual Corporate Director Sep 1, 2020
Sharon Lawson-Davis Individual Corporate Director Jun 28, 2021
Joel Leitner Individual Corporate Director Aug 26, 2015
Sam Amirfar Individual Corporate Director Dec 15, 2014
Dino Veronese Individual Corporate Director Dec 1, 2010
Armand P Asarian Individual Corporate Director Dec 1, 2010
Gary Terrinoni Individual Corporate Director Nov 2, 2015
J. Barclay Collins Individual Corporate Director Dec 1, 2010
Srividya Madhusudhan Individual Corporate Director Mar 10, 2022
John Wash Individual Corporate Director Jul 9, 2018
Harry Dym Individual Corporate Director Dec 1, 2010
Judy McLaughlin Individual Corporate Director Aug 21, 2017
Earl Weiner Individual Corporate Director Dec 1, 2010
Alireza Esmaeilzadeh Individual Corporate Director Dec 1, 2014
Carlos Naudon Individual Corporate Director Dec 1, 2010
Gaetano Mennonna Individual Corporate Director Nov 11, 2013
Staccy Friedman Individual Corporate Director Dec 1, 2010
Maria Forini Ramirez Individual Corporate Director Mar 1, 2010
Deirdre Quinn Individual Corporate Director May 1, 2018
Pratibha Vemulapalli Individual Corporate Director Jan 3, 2017
Anne Elizabeth Fontaine Individual Corporate Director Dec 1, 2002
James Gasperino Individual Corporate Director Oct 5, 2016
Olamide Ajibesin Individual Corporate Director May 1, 2018
Cathy Sommer Individual Corporate Director May 1, 2021
Wayong Lai Austin Individual Corporate Director May 1, 2021
Sharon Wickes Individual Corporate Director Jan 25, 2016
Robert Aulicino Individual Corporate Director Aug 1, 2016
Vasantha K Kondamudi Individual Corporate Director Dec 1, 2010

Owners & managing parties with NPI records 6

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

Practitioners & affiliated clinicians

Practitioners 101

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 101

Affiliated clinicians 246

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

View all 246

NPI Registry JSON

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712275200000",
    "number": "1326046467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 DEKALB AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015425",
            "telephone_number": "718-488-3736",
            "fax_number": "718-488-3719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 DEKALB AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015425",
            "telephone_number": "718-488-3736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BROOKLYN HOSPITAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-12",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A",
        "authorized_official_last_name": "FERREREAS",
        "authorized_official_first_name": "NELSON",
        "authorized_official_title_or_position": "VP OF REVENUE CYCLE",
        "authorized_official_telephone_number": "718-488-3736"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NY",
            "license": "7001003H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00243614",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "287",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.