Organization Active NPI

NYU Lutheran Medical Center

  • Chronic Disease Hospital
  • Brooklyn, NY
National Provider Identifier
1609308048
Registry record updated Apr 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Chronic Disease HospitalTaxonomy code 281P00000X
License
008724 Issued in NY
Legal business name
NYU LUTHERAN MEDICAL CENTER
Practice address
5610 2ND Ave
RM 191
Brooklyn, NY 11220-3599
Phone
(718) 630-8611
NPI assigned
Apr 3, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2017

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

Authorized official

Name
Dr. Jason Klein, ENDROCRINOLOGIST
Title
Director, Pediatric Diabetes Center
Phone
(516) 509-1566

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chronic Disease Hospital 281P00000X 008724 NY Primary

Addresses

Primary practice location

5610 2ND Ave
RM 191
Brooklyn, NY 11220-3599

Mailing address

5610 2ND Ave
RM 191
Brooklyn, NY 11220-3599

National Provider Directory

National Provider Directory

Locations

5610 2nd Ave
Rm 191
Brooklyn, NY 11220
Phone (718) 630-8611

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": "1491177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491177600000",
    "number": "1609308048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5610 2ND AVE",
            "address_2": "RM 191",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5610 2ND AVE",
            "address_2": "RM 191",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203599",
            "telephone_number": "718-630-8611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NYU LUTHERAN MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-03",
        "last_updated": "2017-04-03",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "DIRECTOR, PEDIATRIC DIABETES CENTER",
        "authorized_official_telephone_number": "516-509-1566",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ENDROCRINOLOGIST"
    },
    "taxonomies": [
        {
            "code": "281P00000X",
            "taxonomy_group": "",
            "desc": "Chronic Disease Hospital",
            "state": "NY",
            "license": "008724",
            "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 Apr 3, 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.