NPIMap

Organization Active NPI

Wyckoff Heights Medical Center

  • General Acute Care Hospital
  • Brooklyn, NY
National Provider Identifier
1609258227
Registry record updated Jun 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
N004232 Issued in NY
Legal business name
WYCKOFF HEIGHTS MEDICAL CENTER
Practice address
987 Putnam Ave Apt 3a
Brooklyn, NY 11221-4295
Phone
(917) 796-1693
NPI assigned
Jun 19, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2015

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

Authorized official

Name
Dr. Ronald M. Guberman, DPM
Title
Podiatry Residency Director
Phone
(718) 963-7332

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X N004232 NY Primary

Addresses

Primary practice location

987 Putnam Ave Apt 3a
Brooklyn, NY 11221-4295

Mailing address

987 Putnam Ave Apt 3a
Brooklyn, NY 11221-4295
Phone (917) 796-1693

National Provider Directory

National Provider Directory
Tax ID family
Wyckoff Heights Medical Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1434672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434672000000",
    "number": "1609258227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "987 PUTNAM AVE APT 3A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112214295",
            "telephone_number": "917-796-1693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "987 PUTNAM AVE APT 3A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112214295",
            "telephone_number": "917-796-1693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYCKOFF HEIGHTS MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-19",
        "last_updated": "2015-06-19",
        "status": "A",
        "authorized_official_last_name": "GUBERMAN",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PODIATRY RESIDENCY DIRECTOR",
        "authorized_official_telephone_number": "718-963-7332",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NY",
            "license": "N004232",
            "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 Jun 19, 2015; 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.