NPIMap

Organization Active NPI

University Physicians of Brooklyn, Inc.

Doing business as Downstate Health Physicians

  • Child & Adolescent Psychiatry Physician
  • Brooklyn, NY
National Provider Identifier
1689715476
Registry record updated May 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
Legal business name
UNIVERSITY PHYSICIANS OF BROOKLYN, INC.
Doing business as
Downstate Health Physicians
Practice address
445 Lenox Rd
Suite D
Brooklyn, NY 11203-2017
Phone
(718) 270-2036
Fax
(718) 270-3910
NPI assigned
Feb 12, 2007
Last updated
May 28, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2024

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

Authorized official

Name
Albert Guidice
Title
Enrollment Manager
Phone
(718) 613-8481

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X
Clinical Psychologist 103TC0700X
Clinical Social Worker 1041C0700X
Child & Adolescent Psychiatry Physician 2084P0804X Primary

Addresses

Primary practice location

445 Lenox Rd
Suite D
Brooklyn, NY 11203-2017

Mailing address

450 Clarkson Ave
MSC# 80
Brooklyn, NY 11203-2056
Phone (718) 613-8481

Other identifiers 1

IdentifierTypeStateIssuer
03888864MedicaidNY

Other names 1

  • Downstate Health Physicians Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150701002385 NY Part B Supplier - Clinic/Group Practice 0749192284 Receives reassigned benefits from 3 practitioners
Practice locations: Brooklyn, NY

Other NPIs with the same Medicare PAC ID 5

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

National Provider Directory

National Provider Directory
Tax ID family
Downstate Health Physicians24 organizations share this tax ID, including this one

Other organizations with this tax ID 23

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

View all 23

Locations

1502 Caton Ave
Brooklyn, NY 11226
Phone (718) 693-3300

3619 Bedford Ave
Ste 1C
Brooklyn, NY 11210
Phone (718) 692-8573

445 Lenox Rd
Ste D
Brooklyn, NY 11203
Phone (718) 270-2036

5000 Avenue K
Brooklyn, NY 11234
Phone (718) 629-5590

506 6th St
Brooklyn, NY 11215
Phone (718) 780-3279

710 Parkside Ave
Brooklyn, NY 11226
Phone (718) 282-7800

271 Jericho Tpke
Floral Park, NY 11001
Phone (516) 326-0700

450 W 31st St
New York, NY 10001
Phone (212) 604-9800

Practitioners & affiliated clinicians

Practitioners 361

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 361

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716854400000",
    "number": "1689715476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 CLARKSON AVE",
            "address_2": "MSC# 80",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112032056",
            "telephone_number": "718-613-8481",
            "fax_number": "718-613-8498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 LENOX RD",
            "address_2": "SUITE D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112032017",
            "telephone_number": "718-270-2036",
            "fax_number": "718-270-3910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY PHYSICIANS OF BROOKLYN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A",
        "authorized_official_last_name": "GUIDICE",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_title_or_position": "ENROLLMENT MANAGER",
        "authorized_official_telephone_number": "718-613-8481"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03888864",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Downstate Health Physicians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.