NPIMap

Organization Active NPI

Brooklyn Plaza Medical Center, Inc

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1366830242
Registry record updated Dec 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
020926-1 Issued in NY
Legal business name
BROOKLYN PLAZA MEDICAL CENTER, INC
Practice address
650 Fulton St
Brooklyn, NY 11217-1517
Phone
(718) 596-9800
NPI assigned
Dec 31, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2014

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

Authorized official

Name
Lazetta Duncan-Moore
Title
Ceo
Phone
(718) 596-9800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 020926-1 NY Primary

Addresses

Primary practice location

650 Fulton St
Brooklyn, NY 11217-1517

Mailing address

650 Fulton St
Brooklyn, NY 11217-1517
Phone (718) 596-9800

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.

NPI Registry JSON

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

{
    "created_epoch": "1419984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419984000000",
    "number": "1366830242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 FULTON ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112171517",
            "telephone_number": "718-596-9800",
            "fax_number": "718-596-9889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 FULTON ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112171517",
            "telephone_number": "718-596-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKLYN PLAZA MEDICAL CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-31",
        "last_updated": "2014-12-31",
        "status": "A",
        "authorized_official_last_name": "DUNCAN-MOORE",
        "authorized_official_first_name": "LAZETTA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "718-596-9800"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "020926-1",
            "primary": true
        }
    ],
    "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 Dec 31, 2014; 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.