Organization Active NPI

Woodhull Medical and Mental Health Center

  • General Acute Care Hospital
  • Brooklyn, NY
National Provider Identifier
1497828164
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
221721 Issued in NY
Legal business name
WOODHULL MEDICAL AND MENTAL HEALTH CENTER
Practice address
760 Broadway
Suit 3a-30
Brooklyn, NY 11206-5317
Phone
(718) 963-8000
Fax
(718) 963-8501
NPI assigned
Nov 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Tatyana Tsifrinovich, M.D.NPI 1437225638
Title
Attending Anesthesiologist
Phone
(718) 963-8000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 221721 NY Primary

Addresses

Primary practice location

760 Broadway
Suit 3a-30
Brooklyn, NY 11206-5317

Mailing address

40 Oceana Dr W
Apt. 2C
Brooklyn, NY 11235-6665
Phone (718) 332-2713

Other identifiers 1

IdentifierTypeStateIssuer
221721OtherNYLICENSE

Other names 1

  • Woodhull Hospital Doing business as

National Provider Directory

National Provider Directory

Locations

760 Broadway
Ste 3A30
Brooklyn, NY 11206

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497828164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 OCEANA DR W",
            "address_2": "APT. 2C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112356665",
            "telephone_number": "718-332-2713",
            "fax_number": "718-963-8501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 BROADWAY",
            "address_2": "SUIT 3A-30",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112065317",
            "telephone_number": "718-963-8000",
            "fax_number": "718-963-8501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODHULL MEDICAL AND MENTAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TSIFRINOVICH",
        "authorized_official_first_name": "TATYANA",
        "authorized_official_title_or_position": "ATTENDING ANESTHESIOLOGIST",
        "authorized_official_telephone_number": "718-963-8000",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NY",
            "license": "221721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "221721",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woodhull Hospital",
            "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 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.