NPIMap

Organization Active NPI

Suny Downstate Medical Center

  • Emergency Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1699704155
Registry record updated Apr 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
SUNY DOWNSTATE MEDICAL CENTER
Practice address
445 Lenox Rd
Brooklyn, NY 11203-2017
Phone
(718) 270-1000
NPI assigned
Jun 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2013

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

Authorized official

Name
Marilyn Vientos-Sotiriadis
Title
Coo
Phone
(718) 270-2025

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X Primary
Emergency Medical Services (Emergency Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207PE0004X
Pediatric Emergency Medicine (Emergency Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207PP0204X

Addresses

Primary practice location

445 Lenox Rd
Brooklyn, NY 11203-2017

Mailing address

445 Lenox Rd
Brooklyn, NY 11203-2017
Phone (718) 270-1000

Other identifiers 1

IdentifierTypeStateIssuer
02160589MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040313000077 NY Part B Supplier - Clinic/Group Practice 0840101770 Receives reassigned benefits from 65 practitioners
36 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Stony Brook, NY; West Haverstraw, NY

Other NPIs on the same Medicare enrollment 36

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

View all 36

National Provider Directory

National Provider Directory

Locations

349 Henry St
Fl 2
Brooklyn, NY 11201

470 Clarkson Ave
Ste R
Brooklyn, NY 11203

470 Clarkson Ave
Ste B4333
Brooklyn, NY 11203

330 Hicks St
Brooklyn, NY 11201
Phone (718) 780-1101

270 9th St
Brooklyn, NY 11215
Phone (347) 921-3623

470 Clarkson Ave
Ste G
Brooklyn, NY 11203
Phone (718) 270-3936

185 Montague St
Fl 4
Brooklyn, NY 11201
Phone (347) 292-9877

557 Pennsylvania Ave
Brooklyn, NY 11207
Phone (718) 240-2700

470 Clarkson Ave
Ste 1
Brooklyn, NY 11203

284 Baltic St
Brooklyn, NY 11201
Phone (718) 330-9390

470 Clarkson Ave
Ste C
Brooklyn, NY 11203
Phone (718) 270-1491

470 Clarkson Ave
Ste 100
Brooklyn, NY 11203

470 Clarkson Ave
#1369
Brooklyn, NY 11203

148 Pierrepont St
Brooklyn, NY 11201
Phone (718) 780-1562

840 Lefferts Ave
Brooklyn, NY 11203
Phone (718) 493-0300

8407 7th Ave
Brooklyn, NY 11228
Phone (718) 680-4000

760 Parkside Ave
Brooklyn, NY 11226
Phone (917) 751-9093

97 Amity St
Fl 1
Brooklyn, NY 11201
Phone (929) 455-2500

339 Hicks St
Fl 6
Brooklyn, NY 11201
Phone (718) 780-1065

470 Clarkson Ave
#B4333
Brooklyn, NY 11203

470 Clarkson Ave
Ste D
Brooklyn, NY 11203
Phone (718) 270-4445

470 Clarkson Ave
Ste H
Brooklyn, NY 11203

349 Henry St
Fl 3
Brooklyn, NY 11201

339 Hicks St
Fl 3
Brooklyn, NY 11201
Phone (718) 780-1263

280 Central Ave
Fredonia, NY 14063
Phone (716) 673-3131

Practitioners & affiliated clinicians

Practitioners 410

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 410

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365033600000",
    "number": "1699704155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 LENOX RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112032017",
            "telephone_number": "718-270-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 LENOX RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112032017",
            "telephone_number": "718-270-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNY DOWNSTATE MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-30",
        "last_updated": "2013-04-04",
        "status": "A",
        "authorized_official_last_name": "VIENTOS-SOTIRIADIS",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "718-270-2025"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207PP0204X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine, Pediatric Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02160589",
            "state": "NY"
        }
    ],
    "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 4, 2013; 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.