NPIMap

Organization Active NPI

Brooklyn Plaza Medical Center

  • Community Health Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1447791132
Registry record updated Mar 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
License
132006 Issued in NY
Legal business name
BROOKLYN PLAZA MEDICAL CENTER
Practice address
650 Fulton St
Brooklyn, NY 11217-1517
Phone
(718) 596-9800
NPI assigned
Mar 14, 2017
Last updated
Mar 14, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2017

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

Authorized official

Name
Mrs. Lazeta Duncan Moore
Title
Ceo
Phone
(718) 596-9800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X 132006 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

Other identifiers 1

IdentifierTypeStateIssuer
112937992MedicaidNY

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.

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DAFHAA

NPI Registry JSON

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

{
    "created_epoch": "1489449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489449600000",
    "number": "1447791132",
    "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"
        },
        {
            "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",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-14",
        "last_updated": "2017-03-14",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "LAZETA",
        "authorized_official_middle_name": "DUNCAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "718-596-9800",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "NY",
            "license": "132006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112937992",
            "state": "NY"
        }
    ],
    "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 Mar 14, 2017; 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.