NPIMap

Organization Active NPI

Brookdale Hospital Medical Center

  • Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1770192593
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
BROOKDALE HOSPITAL MEDICAL CENTER
Practice address
1 Brookdale PLZ
Obh Dental Medicine
Brooklyn, NY 11212-3139
Phone
(718) 240-8516
NPI assigned
Jul 28, 2020
Last updated
Sep 25, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
BROOKDALE HOSPITAL MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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) 240-8516

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

1 Brookdale PLZ
Obh Dental Medicine
Brooklyn, NY 11212-3139

Mailing address

10101 Avenue D
Brooklyn, NY 11236-1902
Phone (718) 240-8516

Other identifiers 1

IdentifierTypeStateIssuer
00243572MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Michael G Mendelsohn24 organizations share this tax ID, including this one
Part of
Michael G Mendelsohn

Other organizations with this tax ID 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1595894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758758400000",
    "number": "1770192593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10101 AVENUE D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112361902",
            "telephone_number": "718-240-8516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BROOKDALE PLZ",
            "address_2": "OBH DENTAL MEDICINE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112123139",
            "telephone_number": "718-240-8516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKDALE HOSPITAL MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BROOKDALE HOSPITAL MEDICAL CENTER",
        "enumeration_date": "2020-07-28",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A",
        "authorized_official_last_name": "SALVO",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
        "authorized_official_telephone_number": "718-240-8516"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00243572",
            "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 Sep 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.