NPIMap

Organization Active NPI

Brookdale Family Care Center, Inc.

  • Multi-Specialty Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1629443353
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
281467 Issued in NY
Legal business name
BROOKDALE FAMILY CARE CENTER, INC.
Practice address
465 New Lots Avenue
BFCC New Lots
Brooklyn, NY 11207-6414
Phone
(718) 240-8950
NPI assigned
Dec 7, 2015
Last updated
Nov 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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

Authorized official

Name
Charles Salvo
Title
Senior Vice President
Phone
(718) 240-6374

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X 281467 NY Primary

Addresses

Primary practice location

465 New Lots Avenue
BFCC New Lots
Brooklyn, NY 11207-6414

Mailing address

1 Brookdale Plaza
5TH Floor Strausberg
Brooklyn, NY 11212
Phone (718) 240-6374

National Provider Directory

National Provider Directory
Tax ID family
Brookdale Family Care Center Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

1 Brookdale Plz
Fl 5
Brooklyn, NY 11212

NPI Registry JSON

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

{
    "created_epoch": "1449446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731974400000",
    "number": "1629443353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BROOKDALE PLAZA",
            "address_2": "5TH FLOOR STRAUSBERG",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11212",
            "telephone_number": "718-240-6374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 NEW LOTS AVENUE",
            "address_2": "BFCC NEW LOTS",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112076414",
            "telephone_number": "718-240-8950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKDALE FAMILY CARE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-07",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A",
        "authorized_official_last_name": "SALVO",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
        "authorized_official_telephone_number": "718-240-6374"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NY",
            "license": "281467",
            "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 Nov 19, 2024; 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.