Organization Active NPI

Suny Downstate Medical Center

  • General Acute Care Hospital
  • Brooklyn, NY
National Provider Identifier
1598949000
Registry record updated Dec 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
SUNY DOWNSTATE MEDICAL CENTER
Practice address
450 Clarkson Ave.
Dept. of Medicine, Div. of Cardiology.
Brooklyn, NY 11203
Phone
(718) 270-1568
NPI assigned
Dec 19, 2007
Last updated
Dec 19, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2007

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

Authorized official

Name
Dr. Shyam Sunder Poludasu, M.D.
Title
Fellow in Cardiology
Phone
(718) 270-1568

Specialties & licenses 1

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

Addresses

Primary practice location

450 Clarkson Ave.
Dept. of Medicine, Div. of Cardiology.
Brooklyn, NY 11203

Mailing address

1305 Gravesend Neck Rd
#2A
Brooklyn, NY 11229-4328
Phone (646) 322-7137

National Provider Directory

National Provider Directory
Tax ID family
Suny Plattsburgh Nysadac HCBS7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1198022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198022400000",
    "number": "1598949000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 GRAVESEND NECK RD",
            "address_2": "#2A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112294328",
            "telephone_number": "646-322-7137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 CLARKSON AVE.",
            "address_2": "DEPT. OF MEDICINE, DIV. OF CARDIOLOGY.",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11203",
            "telephone_number": "718-270-1568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNY DOWNSTATE MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-19",
        "last_updated": "2007-12-19",
        "status": "A",
        "authorized_official_last_name": "POLUDASU",
        "authorized_official_first_name": "SHYAM",
        "authorized_official_middle_name": "SUNDER",
        "authorized_official_title_or_position": "FELLOW IN CARDIOLOGY",
        "authorized_official_telephone_number": "718-270-1568",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 19, 2007; 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.