NPIMap

Organization Active NPI

Maimonides Medical Center

  • General Acute Care Hospital
  • Brooklyn, NY
National Provider Identifier
1346791845
Registry record updated Oct 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
020010-1 Issued in NY
Legal business name
MAIMONIDES MEDICAL CENTER
Practice address
4802 10TH Ave
Department of Medicine Administration Building 301
Brooklyn, NY 11219
Phone
(718) 283-8137
NPI assigned
Oct 19, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2016

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

Authorized official

Name
Ignazio Dimino, PA-C
Title
Chief Physician Assistant, Dom
Phone
(718) 283-8137

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 020010-1 NY Primary
Critical Access Hospital 282NC0060X 020010-1 NY
Physician AssistantGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363A00000X 020010-1 NY

Addresses

Primary practice location

4802 10TH Ave
Department of Medicine Administration Building 301
Brooklyn, NY 11219

Mailing address

4802 10TH Ave
Department of Medicine Administration Building 301
Brooklyn, NY 11219
Phone (718) 283-8137

National Provider Directory

National Provider Directory
Tax ID family
New York Vascular Care PL27 organizations share this tax ID, including this one

Other organizations with this tax ID 26

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

View all 26

Locations

4802 10th Ave
Bldg 301
Brooklyn, NY 11219
Phone (718) 283-8137

NPI Registry JSON

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

{
    "created_epoch": "1476835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476835200000",
    "number": "1346791845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4802 10TH AVE",
            "address_2": "DEPARTMENT OF MEDICINE ADMINISTRATION BUILDING 301",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11219",
            "telephone_number": "718-283-8137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4802 10TH AVE",
            "address_2": "DEPARTMENT OF MEDICINE ADMINISTRATION BUILDING 301",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11219",
            "telephone_number": "718-283-8137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIMONIDES MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-19",
        "last_updated": "2016-10-19",
        "status": "A",
        "authorized_official_last_name": "DIMINO",
        "authorized_official_first_name": "IGNAZIO",
        "authorized_official_title_or_position": "CHIEF PHYSICIAN ASSISTANT, DOM",
        "authorized_official_telephone_number": "718-283-8137",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NY",
            "license": "020010-1",
            "primary": true
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "NY",
            "license": "020010-1",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "020010-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 19, 2016; 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.