NPIMap

Organization Active NPI

The Brookdale Hospital Medical Center

  • Psychiatric Hospital Unit
  • Brooklyn, NY
National Provider Identifier
1407989288
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
Legal business name
THE BROOKDALE HOSPITAL MEDICAL CENTER
Practice address
1 Brookdale PLZ
Brooklyn, NY 11212-3139
Phone
(718) 240-5000
NPI assigned
Mar 13, 2007
Last updated
Nov 14, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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

Authorized official

Name
Charles Salvo
Title
Senior Vice President
Phone
(718) 240-6374

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X Primary

Addresses

Primary practice location

1 Brookdale PLZ
Brooklyn, NY 11212-3139

Mailing address

1 Brookdale PLZ
Department of Psychiatry
Brooklyn, NY 11212-3139
Phone (718) 240-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110726000092 NY Part A Provider - Hospital 4284545799 3 other NPIs on this enrollment
Practice locations: Brooklyn, NY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1407989288. Details of each certification follow.

Hospital certification: CCN 33S233

Legal name
THE BROOKDALE HOSPITAL MEDICAL CENTER
Doing business as
BROOKDALE HOSPITAL MEDICAL CENTER PSYCH UNIT
Organization structure
CorporationNon-profit
Incorporated
Dec 31, 1914 in NY
Enrollment address
1 Brookdale PLZ
Brooklyn, NY 11212-3198
Other Hospital Practice Location
Hospital subgroups
Psychiatric unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Brookdale Hospmedctr24 organizations share this tax ID, including this one

Other organizations with this tax ID 23

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

View all 23

Ownership & related parties

All disclosed owners & managing parties 20

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

NameRoleSinceShare
Hugh Nelson Individual Corporate DirectorTrustee Mar 26, 2018
Henna White Individual Corporate DirectorSecretary/Treasurer Mar 26, 2018
Alexander Rovt Individual Corporate DirectorChairman Mar 26, 2018
Mark Shelton Individual Corporate DirectorTrustee Mar 26, 2018
Michael Scagnelli Individual Corporate DirectorTrustee Mar 26, 2018
Richard E Green Individual Corporate DirectorTrustee Jun 7, 2018
Joseph J Ciuffo Individual Corporate DirectorTrustee Aug 23, 2018
Nusin Shtern Individual Corporate DirectorTrustee Jun 7, 2018
Michelle Figueroa Individual Corporate OfficerChief Financial Officer Jul 10, 2023
W-2 Managing EmployeeChief Financial Officer Jul 10, 2023
Robert Waterman Individual Corporate DirectorVice Chairman Mar 26, 2018
Aryeh Katzin Individual Corporate DirectorTrustee Jun 7, 2018
Maurice a Reid Individual Corporate DirectorTrustee Jun 7, 2018
Victor Ayala Individual Corporate DirectorTrustee Mar 26, 2018
Reginald Bullock Individual W-2 Managing EmployeeAssistant Secretary May 18, 2014
Hope Mason Individual Corporate DirectorTrustee Mar 26, 2018
Michael L. Nairne Individual Corporate DirectorTrustee Jun 7, 2018
Edna Wells Individual W-2 Managing EmployeeTrustee Jun 7, 2018
Michael R Irwin Individual Corporate DirectorTrustee Mar 26, 2018
One Brooklyn Health System, Inc Organization, Brooklyn, NY Non-profit Operational/Managerial Control Apr 12, 2018
Sofia Novak Individual Corporate DirectorTrustee Aug 23, 2018

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 3

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 16

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 16

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731542400000",
    "number": "1407989288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BROOKDALE PLZ",
            "address_2": "DEPARTMENT OF PSYCHIATRY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112123139",
            "telephone_number": "718-240-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BROOKDALE PLZ",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112123139",
            "telephone_number": "718-240-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BROOKDALE HOSPITAL MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-13",
        "status": "A",
        "authorized_official_last_name": "SALVO",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
        "authorized_official_telephone_number": "718-240-6374"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.