Active NPI
NYU Lutheran Medical Center
- Chronic Disease Hospital
- Brooklyn, NY
National Provider Identifier
1609308048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chronic Disease Hospital
- License
- 008724
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Registered Dietitian
- Brooklyn, NY
- NPI 1831623446
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.