NPIMap

Organization Active NPI

Brooklyn Plaza Medical Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Brooklyn, NY
National Provider Identifier
1336113398
Registry record updated May 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
7001250R Issued in NY
Legal business name
BROOKLYN PLAZA MEDICAL CENTER, INC
Practice address
1089 President St
Brooklyn, NY 11225-1892
Phone
(718) 596-9896
Fax
(718) 596-9889
NPI assigned
Feb 15, 2006
Last updated
May 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2026

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

Authorized official

Name
Mr. Philip Onorato
Title
Ceo
Phone
(718) 596-9800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X 7001250R NY Primary

Addresses

Primary practice location

1089 President St
Brooklyn, NY 11225-1892

Mailing address

1089 President St
Brooklyn, NY 11225-1892
Phone (718) 596-9896

Other identifiers 18

IdentifierTypeStateIssuer
116710101OtherHEALTH PLUS CHILD HEALTH
2361244OtherAETNA
27556010OtherHEALTH PLUS CHILD HEALTH
275780101OtherHEALTH PLUS CHILD HEALTH
5999757OtherGHI
000195901OtherAMERICHOICE
010223901OtherAMERICHOICE
010007902OtherAMERICHOICE
40426029577OtherFIDELIS
000023004OtherAMERICHOICE
0120218401OtherAMERICHOICE
204590101OtherHEALTH PLUS CHILD HEALTH
40426058486OtherFIDELIS
0000224501OtherAMERICHOICE
251330401OtherHEALTH PLUS CHILD HEALTH
40426028484OtherFIDELIS
40426029652OtherFIDELIS
00357451MedicaidNY

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080421000478 NY Part A Provider - Federally Qualified Health Center (FQHC) 7113961178 Practice locations: Brooklyn, NY
O20170503000192 NY Part B Supplier - Clinic/Group Practice 7113961178 Receives reassigned benefits from 15 practitioners
1 other NPI on this enrollment
Practice locations: Brooklyn, NY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1336113398. Details of each certification follow.

Federally qualified health center certification: CCN 331818

Legal name
WHITMAN INGERSOLL FARRAGUT HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 1, 1991
Last certification
Oct 1, 1991
Ownership / control type
Non-profit – other
Organization structure
CorporationNon-profit
Incorporated
Aug 17, 1978 in NY
Enrollment address
650 Fulton St
Brooklyn, NY 11217-1517

Other NPIs with the same Medicare PAC ID 1

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.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D0874302Brooklyn Plaza Medical Center Inc1089 President St, Brooklyn, NY 11225Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory
Tax ID family
Brooklyn Plaza Medical Center Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

77 Clinton Ave
Brooklyn, NY 11205
Phone (718) 834-2981

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
George Wong Individual Corporate DirectorBoard Member Nov 7, 2008
Sylvia Richardson Individual W-2 Managing EmployeeCredentialing Manager Jan 1, 2022
John Chaney Individual Corporate DirectorBoard Member Mar 15, 2011
Rolando Pagan Individual Corporate DirectorBoard Member May 13, 2013
Esteen Ladsen-Barnes Individual Corporate DirectorBoard Member May 20, 2014
Doreen Cooper Individual Corporate DirectorBoard Member Jul 9, 2006
Shirley Luck Individual Corporate DirectorBoard Member Nov 7, 2008
Theresa Holmes-Simmons Individual Corporate DirectorBoard Member Nov 7, 2008
Caleb Terry Individual Corporate OfficerChief Compliance Officer Jan 1, 2022
Philip Onorato Individual Corporate OfficerChief Executive Officer Jan 1, 2020
Corporate Director Jan 1, 2020
Operational/Managerial Control Jan 1, 2020
Marilyn Tucker Individual Corporate DirectorBoard Member Aug 16, 2012

Practitioners & affiliated clinicians

Practitioners 29

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 29

NPI Registry JSON

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778803200000",
    "number": "1336113398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1089 PRESIDENT ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112251892",
            "telephone_number": "718-596-9896",
            "fax_number": "718-596-9889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1089 PRESIDENT ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112251892",
            "telephone_number": "718-596-9896",
            "fax_number": "718-596-9889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKLYN PLAZA MEDICAL CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-15",
        "last_updated": "2026-05-15",
        "certification_date": "2026-05-15",
        "status": "A",
        "authorized_official_last_name": "ONORATO",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "718-596-9800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NY",
            "license": "7001250R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLUS CHILD HEALTH",
            "identifier": "116710101",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2361244",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLUS CHILD HEALTH",
            "identifier": "27556010",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLUS CHILD HEALTH",
            "identifier": "275780101",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "5999757",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "000195901",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "010223901",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "010007902",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS",
            "identifier": "40426029577",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "000023004",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "0120218401",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLUS CHILD HEALTH",
            "identifier": "204590101",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS",
            "identifier": "40426058486",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "0000224501",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLUS CHILD HEALTH",
            "identifier": "251330401",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS",
            "identifier": "40426028484",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS",
            "identifier": "40426029652",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00357451",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.