Active NPI
Medical Associates of Woodhull PC
- General Acute Care Hospital
- Ridgewood, NY
National Provider Identifier
1437210440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- License
- 126930
- Legal business name
- MEDICAL ASSOCIATES OF WOODHULL PC
- Practice address
- 5927 Woodbine St
3 L
Ridgewood, NY 11385-3262 - Phone
- (718) 417-5102
- Fax
- (718) 417-5102
- NPI assigned
- Dec 13, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bertina Jones
- Title
- Assistant Personnel Director
- Phone
- (718) 963-8589
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 126930 | NY | Primary |
Addresses
Primary practice location
5927 Woodbine St
3 L
Ridgewood, NY 11385-3262
Mailing address
760 Broadway
Woodhull Medical Group, Woodhull Hospital
Brooklyn, NY 11206
Phone (718) 963-8000
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1437210440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "760 BROADWAY",
"address_2": "WOODHULL MEDICAL GROUP, WOODHULL HOSPITAL",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11206",
"telephone_number": "718-963-8000",
"fax_number": "718-963-8589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5927 WOODBINE ST",
"address_2": "3 L",
"city": "RIDGEWOOD",
"state": "NY",
"postal_code": "113853262",
"telephone_number": "718-417-5102",
"fax_number": "718-417-5102"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICAL ASSOCIATES OF WOODHULL PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-13",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "JONES",
"authorized_official_first_name": "BERTINA",
"authorized_official_title_or_position": "ASSISTANT PERSONNEL DIRECTOR",
"authorized_official_telephone_number": "718-963-8589"
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "NY",
"license": "126930",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ridgewood, NY
Sources for this page
- 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.