Woodhull Medical Group

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

010405 Issued in NY

Legal business name

WOODHULL MEDICAL GROUP

Practice address

760 Broadway
Brooklyn, NY 11206-5317

Phone

(718) 963-5806

NPI assigned

Aug 19, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Edward Fishkin, MD

Title

Medical Director

Phone

(718) 963-8569

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gerd St Germain, PA

  • Physician Assistant
  • Brooklyn, NY
  • NPI 1174606503
  NPD (past)

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396859948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "665 E 84TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112363427",
            "telephone_number": "718-241-7141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 BROADWAY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112065317",
            "telephone_number": "718-963-5806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODHULL MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FISHKIN",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "718-963-8569",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NY",
            "license": "010405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Woodhull Medical Center
• Woodhull Medical Center
• Woodhull Medical Center
• Woodhull Medical Center
• Woodhull Medical Group
• Woodhull Prescription Center Inc.
• Woodhull Prescription Center Inc.
• Pauline Woodie
• Anika Woodley
• Cleo Woodley

• General Acute Care Hospital in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• General Acute Care Hospital in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.