Organization Active NPI

Brookdale Plaza Nephrology Assoc. PC

  • Nephrology Physician
  • Brooklyn, NY
National Provider Identifier
1396728986
Registry record updated Jul 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
BROOKDALE PLAZA NEPHROLOGY ASSOC. PC
Practice address
1 Brookdale PLZ
Room 169CHC
Brooklyn, NY 11212-3139
Phone
(718) 240-5615
Fax
(718) 485-4064
NPI assigned
Nov 28, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2013

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

Authorized official

Name
Dr. Shyan-Yih Chou, MDNPI 1730162322
Title
Vice President
Phone
(718) 240-5615

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

1 Brookdale PLZ
Room 169CHC
Brooklyn, NY 11212-3139

Mailing address

1 Brookdale PLZ
Room 169CHC
Brooklyn, NY 11212-3139
Phone (718) 240-5615

Other identifiers 3

IdentifierTypeStateIssuer
0011077OtherNYGHI
00429410MedicaidNY
0087129OtherNYAETNA US HEALTHCARE

Other names 1

  • Brookdale Plaza Nephrology Former legal business name

National Provider Directory

National Provider Directory

Locations

1 Brookdale Plz
#169
Brooklyn, NY 11212
Phone (718) 240-5615

1 Brookdale Plz
Rm 249
Brooklyn, NY 11212
Phone (718) 240-5615

1 Brookdale Plz
Rm 169
Brooklyn, NY 11212
Phone (718) 240-5615

1 Brookdale Plz
Rm 169CHC
Brooklyn, NY 11212
Phone (718) 240-5615

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1133136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372636800000",
    "number": "1396728986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BROOKDALE PLZ",
            "address_2": "ROOM 169CHC",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112123139",
            "telephone_number": "718-240-5615",
            "fax_number": "718-485-4064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BROOKDALE PLZ",
            "address_2": "ROOM 169CHC",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112123139",
            "telephone_number": "718-240-5615",
            "fax_number": "718-485-4064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKDALE PLAZA NEPHROLOGY ASSOC. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-28",
        "last_updated": "2013-07-01",
        "status": "A",
        "authorized_official_last_name": "CHOU",
        "authorized_official_first_name": "SHYAN-YIH",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "718-240-5615",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0011077",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00429410",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA US HEALTHCARE",
            "identifier": "0087129",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookdale Plaza Nephrology",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Jul 1, 2013; 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.