NPIMap

Organization Active NPI

Brookdale Hospital Medical Center

  • General Acute Care Hospital
  • Brooklyn, NY
National Provider Identifier
1720028772
Registry record updated Mar 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
7001003H Issued in NY
Legal business name
BROOKDALE HOSPITAL MEDICAL CENTER
Practice address
1 Brookdale PLZ Ste 666
Brooklyn, NY 11212-3139
Phone
(718) 240-8352
NPI assigned
Jun 7, 2006
Last updated
Mar 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 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) 240-5811

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 7001003H NY Primary

Addresses

Primary practice location

1 Brookdale PLZ Ste 666
Brooklyn, NY 11212-3139

Mailing address

1 Brookdale Plaza
Obh Physician Enterprise
Brooklyn, NY 11212-1902
Phone (718) 240-8352

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031120000600 NY Part B Supplier - Clinic/Group Practice 4284545799 Receives reassigned benefits from 842 practitioners
Practice locations: Brooklyn, NY; Elmhurst, NY

Other NPIs with the same Medicare PAC ID 7

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

National Provider Directory

National Provider Directory

Locations

1131 Fulton St
Brooklyn, NY 11238

4045 78th St
Fl 1
Elmhurst, NY 11373
Phone (718) 209-1400

Practitioners & affiliated clinicians

Practitioners 871

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 871

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711670400000",
    "number": "1720028772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BROOKDALE PLAZA",
            "address_2": "OBH PHYSICIAN ENTERPRISE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112121902",
            "telephone_number": "718-240-8352",
            "fax_number": "718-240-5808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BROOKDALE PLZ STE 666",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112123139",
            "telephone_number": "718-240-8352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKDALE HOSPITAL MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-07",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A",
        "authorized_official_last_name": "SALVO",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
        "authorized_official_telephone_number": "718-240-5811"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NY",
            "license": "7001003H",
            "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 Mar 29, 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.