Brookdale Hospital Medical Center
Organization Active NPI General Acute Care Hospital · Brooklyn, NY
NPI 1720028772 · NPPES record last updated Mar 29, 2024
Key facts
- NPI
- 1720028772
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 282N00000X
- License
- 7001003H (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
- Organization subpart
- No
Authorized official
- Name
- Charles Salvo
- Title
- Senior Vice President
- Phone
- (718) 240-5811
Other NPIs with the same Medicare PAC ID 7
Practitioners 872
-
Mohammad Aalai, M.D.
-
Theophine Abakporo, M.D.
-
Vyachislav Abayev, M.D.
-
Michel M Abboud, MD
-
Ramy Abdel-Naby, M.D.
-
Neeraj Abrol, MD
-
Sahar Abzakh, MD
-
Frosso J Adamakos, M.D
-
Daniel Joseph Addanki, M.D.,
-
Ajibola Adedayo, M.D.
-
Adebayo Adeyinka, MD
-
Maksim Agaronov, M.D.
-
Alok Aggarwal, MD
-
Imtiaz Ahmad, MD
-
Nawaiz Ahmad, MD
-
Faraz Ahmed, M.D.
-
Mahreen Akram, MD
-
Sergei Aksenov, M.D.
-
Mohammed Aladdin, MD
-
Lutfi Alasadi, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031120000600 | NY | Part B Supplier - Clinic/Group Practice | 4284545799 |
Receives reassigned benefits from 842 practitioners Practice locations: Brooklyn, NY; Elmhurst, NY |
National Provider Directory
Locations
1131 Fulton St
Brooklyn, NY 11238
4045 78th St
Fl 1
Elmhurst, NY 11373
Phone (718) 209-1400
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 7001003H | NY | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00610013 | Medicaid | NY |
Other providers in Brooklyn, NY
- Brookdale Hospital
- Brookdale Hospital Medical Center
- Brookdale Hospital Medical Center
- Brookdale Hospital Medical Center
- Brookdale Hospital Medical Center
- Brookdale Hospital Medical Center
- Brookdale Hospital Medical Center
- Brookdale Pharma Inc
- Brookdale Pharma Inc
- Brookdale Physicians Dialysis Associates
All providers in Brooklyn, NY · General Acute Care Hospital in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 29, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.