NPIMap

Organization Active NPI

The Brookdale Hospital Medical Center

Doing business as Kingsbrook Jewish Medical Center

  • Long Term Care Pharmacy
  • Brooklyn, NY
National Provider Identifier
1487677472
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
002008 Issued in NY
Legal business name
THE BROOKDALE HOSPITAL MEDICAL CENTER
Doing business as
Kingsbrook Jewish Medical Center
Practice address
585 Schenectady Ave.
Brooklyn, NY 11203
Phone
(718) 604-5363
Fax
(718) 363-6718
NPI assigned
Jul 25, 2006
Last updated
Nov 13, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
THE BROOKDALE HOSPITAL MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Authorized official

Name
Mr. Paul Rosenfeld
Title
Executive Director
Phone
(718) 604-5000

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Compounding Pharmacy 3336C0004X
Institutional Pharmacy 3336I0012X
Long Term Care Pharmacy 3336L0003X 002008 NY Primary

Addresses

Primary practice location

585 Schenectady Ave.
Brooklyn, NY 11203

Mailing address

585 Schenectady Ave.
Kingsbrook Jewish Medical Center
Brooklyn, NY 11203
Phone (718) 604-5000

Other identifiers 3

IdentifierTypeStateIssuer
3345863OtherNYNCPDP
3345863OtherNCPDP PROVIDER IDENTIFICATION NUMBER
00243669MedicaidNY

Other names 1

  • KINGSBROOK JEWISH MEDICAL CENTER Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Brookdale Hospdiv of C24 organizations share this tax ID, including this one
Part of
Brookdale Hospdiv of C

Other organizations with this tax ID 23

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

View all 23

Practitioners & affiliated clinicians

Practitioners 4

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": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731456000000",
    "number": "1487677472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "585 SCHENECTADY AVE.",
            "address_2": "KINGSBROOK JEWISH MEDICAL CENTER",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11203",
            "telephone_number": "718-604-5000",
            "fax_number": "718-363-6718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 SCHENECTADY AVE.",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11203",
            "telephone_number": "718-604-5363",
            "fax_number": "718-363-6718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BROOKDALE HOSPITAL MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE BROOKDALE HOSPITAL MEDICAL CENTER",
        "enumeration_date": "2006-07-25",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A",
        "authorized_official_last_name": "ROSENFELD",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "718-604-5000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NY",
            "license": "002008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3345863",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3345863",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00243669",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KINGSBROOK JEWISH MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "KINGSBROOK JEWISH MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 13, 2024; 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.