Active NPI
Suny Downstate Medical Center
- Emergency Medicine Physician
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- 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
- Last updated
- Apr 4, 2013
- 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
- Marilyn Vientos-Sotiriadis
- Title
- Coo
- Phone
- (718) 270-2025
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | Primary | ||
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | |||
| Pediatric Emergency Medicine (Emergency Medicine) Physician | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.
-
- Developmental Disabilities Clinic/Center
- Norwich, NY
- NPI 1831223718
O20040313000077
-
- Developmental Disabilities Clinic/Center
- Binghamton, NY
- NPI 1902939044
O20040313000077
-
- Developmental Disabilities Clinic/Center
- Waterloo, NY
- NPI 1558495374
O20040313000077
-
- Developmental Disabilities Clinic/Center
- Elmira, NY
- NPI 1659405157
O20040313000077
-
- Developmental Disabilities Clinic/Center
- Canandaigua, NY
- NPI 1023142478
O20040313000077
-
- Developmental Disabilities Clinic/Center
- Newark, NY
- NPI 1902930761
O20040313000077
-
- Developmental Disabilities Clinic/Center
- Penn Yan, NY
- NPI 1174657886
O20040313000077
-
- Developmental Disabilities Clinic/Center
- Rochester, NY
- NPI 1780718551
O20040313000077
-
- Developmental Disabilities Clinic/Center
- Pittsford, NY
- NPI 1063546778
O20040313000077
-
- Developmental Disabilities Clinic/Center
- Rochester, NY
- NPI 1083748792
O20040313000077
National Provider Directory
National Provider DirectoryLocations (25 of 27)
134 Atlantic Ave
Bsmt
Brooklyn, NY 11201
1402 8th Ave
Brooklyn, NY 11215
Phone (718) 369-7226
185 Montague St
Fl 6
Brooklyn, NY 11201
Phone (718) 243-9900
253 Empire Blvd
Brooklyn, NY 11225
270 9th St
Brooklyn, NY 11215
Phone (347) 921-3623
330 Hicks St
Brooklyn, NY 11201
Phone (718) 780-1101
339 Hicks St
Fl 2
Brooklyn, NY 11201
Phone (718) 780-1051
339 Hicks St
Fl 3
Brooklyn, NY 11201
Phone (718) 780-1263
339 Hicks St
Fl 6
Brooklyn, NY 11201
Phone (718) 780-1065
349 Henry St
Fl 2
Brooklyn, NY 11201
349 Henry St
Fl 3
Brooklyn, NY 11201
470 Clarkson Ave
#1369
Brooklyn, NY 11203
470 Clarkson Ave
#B4333
Brooklyn, NY 11203
470 Clarkson Ave
Ste 1
Brooklyn, NY 11203
470 Clarkson Ave
Ste 100
Brooklyn, NY 11203
470 Clarkson Ave
Ste A
Brooklyn, NY 11203
Phone (718) 270-4772
470 Clarkson Ave
Ste B
Brooklyn, NY 11203
Phone (718) 270-1896
470 Clarkson Ave
Ste B4333
Brooklyn, NY 11203
470 Clarkson Ave
Ste D
Brooklyn, NY 11203
Phone (718) 270-4445
470 Clarkson Ave
Ste G
Brooklyn, NY 11203
Phone (718) 270-3936
470 Clarkson Ave
Ste H
Brooklyn, NY 11203
470 Clarkson Ave
Ste I
Brooklyn, NY 11203
470 Clarkson Ave
Ste R
Brooklyn, NY 11203
557 Pennsylvania Ave
Brooklyn, NY 11207
Phone (718) 495-6700
97 Amity St
Fl 1
Brooklyn, NY 11201
Phone (929) 455-2500
Practitioners & affiliated clinicians
Practitioners 410
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.
-
- Physical Therapist
- Middle Village, NY
- NPI 1073701025
-
- Interventional Pain Medicine Physician
- Staten Island, NY
- NPI 1568406452
-
- Gynecologic Oncology Physician
- Brooklyn, NY
- NPI 1104812726
-
- Internal Medicine Physician
- Bronx, NY
- NPI 1881033272
-
- Orthopaedic Surgery Physician
- Brooklyn, NY
- NPI 1306899786
-
- Optometrist
- New York, NY
- NPI 1710987326
-
- Foot & Ankle Surgery Podiatrist
- Brooklyn, NY
- NPI 1134528979
-
- Family Medicine Physician
- Brooklyn, NY
- NPI 1962465518
-
- Adult Health Nurse Practitioner
- Brooklyn, NY
- NPI 1023452034
-
- Family Nurse Practitioner
- Brooklyn, NY
- NPI 1457695157
-
- Physical Therapist
- Brooklyn, NY
- NPI 1063766103
-
- Obstetrics & Gynecology Physician
- East Meadow, NY
- NPI 1528035862
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": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
- Suny Downstate Medical Center
- Suny Downstate Medical Center
- Suny Downstate Medical Center
- Suny Downstate Medical Center
- Suny Downstate Medical Center
- Suny Downstate Medical Center
- Suny Downstate Medical Center
- Suny Downstate Medical Center Uhb
- Suny Health Science Center at Bklyn
- Suny Health Science Center at Bklyn
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.