NPIMap

Organization Active NPI

The Brookdale Hospital Medical Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1639756406
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
THE BROOKDALE HOSPITAL MEDICAL CENTER
Practice address
880 Bergen St
Brooklyn, NY 11238-3301
Phone
(718) 613-4340
NPI assigned
Mar 26, 2021
Last updated
Nov 11, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
THE BROOKDALE HOSPITAL MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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

Authorized official

Name
Michelle Figueroa
Title
Chief Financial Officer
Phone
(718) 240-7931

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

880 Bergen St
Brooklyn, NY 11238-3301

Mailing address

10101 Avenue D
Brooklyn, NY 11236-1902
Phone (718) 240-7931

Other practice location 1

1545 Atlantic Ave
Brooklyn, NY 11213-1122
Phone (718) 613-4340

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments
Opioid treatment program
Medicare-enrolled since Mar 16, 2021

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040813000250 NY Part A Provider - Hospital 4284545799 3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Brooklyn, NY
O20260416000301 NY Part A Provider - Opioid Treatment Program (Otp) 4284545799 Practice locations: Brooklyn, NY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1639756406. Details of each certification follow.

Hospital certification: CCN 330233

Legal name
THE BROOKDALE HOSPITAL MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Aug 24, 2024
Beds
1,120
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Enrollment address
585 Schenectady Ave
Brooklyn, NY 11203-1822
Main/Primary Hospital Location
Hospital subgroups
General, Acute care, Alcohol/drug

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Brookdale Hospital Medical CenterCCN 330233 · All quality measures
Overall star rating
1 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Imc Associates Surgery10 organizations share this tax ID, including this one
Part of
Brookdale Hospdiv of C

Other organizations with this tax ID 9

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

Locations

1038 Broadway
Brooklyn, NY 11221
Phone (718) 613-6210

1235 Linden Blvd
Fl 3
Brooklyn, NY 11212

1335 Linden Blvd
Brooklyn, NY 11212
Phone (718) 240-5100

1536 Bedford Ave
Brooklyn, NY 11216
Phone (718) 613-7375

2035 Ralph Ave
Ste 3
Brooklyn, NY 11234
Phone (718) 209-9639

585 Schenectady Ave
Ste 5
Brooklyn, NY 11203
Phone (718) 218-5693

880 Bergen St
Unit 1
Brooklyn, NY 11238
Phone (718) 613-7555

Ownership & related parties

All disclosed owners & managing parties 22

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Hugh Nelson Individual Corporate DirectorTrustee Mar 26, 2018
Henna White Individual Corporate DirectorSecretary/Treasurer Mar 26, 2018
Alexander Rovt Individual Corporate DirectorChairman Mar 26, 2018
Mark Shelton Individual Corporate DirectorTrustee Mar 26, 2018
Michael Scagnelli Individual Corporate DirectorTrustee Mar 26, 2018
Richard E Green Individual Corporate DirectorTrustee Jun 7, 2018
Joseph J Ciuffo Individual Corporate DirectorTrustee Aug 23, 2018
Nusin Shtern Individual Corporate DirectorTrustee Jun 7, 2018
Michelle Figueroa Individual Corporate OfficerChief Financial Officer Jul 10, 2023
W-2 Managing EmployeeChief Financial Officer Jul 10, 2023
Robert Waterman Individual Corporate DirectorVice Chairman Mar 26, 2018
Aryeh Katzin Individual Corporate DirectorTrustee Jun 7, 2018
Maurice a Reid Individual Corporate DirectorTrustee Jun 7, 2018
Victor Ayala Individual Corporate DirectorTrustee Mar 26, 2018
Reginald Bullock Individual W-2 Managing EmployeeAssistan Secretary May 18, 2014
Hope Mason Individual Corporate DirectorTrustee Mar 26, 2018
Michael L. Nairne Individual Corporate DirectorTrustee Jun 7, 2018
Laray Brown Individual Corporate OfficerCeo Jan 1, 2021 100%
W-2 Managing EmployeeCeo Jan 1, 2021 100%
Operational/Managerial ControlCeo Jan 1, 2021 100%
Edna Wells Individual Corporate DirectorTrustee Jun 7, 2018
Michael R Irwin Individual Corporate DirectorTrustee Mar 26, 2018
One Brooklyn Health System, Inc Organization, Brooklyn, NY Non-profit Operational/Managerial Control Apr 12, 2018
Dollyann Yorke Individual W-2 Managing EmployeeVice President, Budget and Reimb Jan 1, 2021
Sofia Novak Individual Corporate DirectorTrustee Aug 23, 2018

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 840

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 840

Affiliated clinicians 421

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 421

NPI Registry JSON

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

{
    "created_epoch": "1616716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762819200000",
    "number": "1639756406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10101 AVENUE D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112361902",
            "telephone_number": "718-240-7931",
            "fax_number": "718-240-6492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 BERGEN ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112383301",
            "telephone_number": "718-613-4340"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1545 Atlantic Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112131122",
            "country_code": "US",
            "telephone_number": "718-613-4340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE BROOKDALE HOSPITAL MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE BROOKDALE HOSPITAL MEDICAL CENTER",
        "enumeration_date": "2021-03-26",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A",
        "authorized_official_last_name": "FIGUEROA",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "718-240-7931"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.