Organization Active NPI

The Brooklyn Hospital Center

  • General Acute Care Hospital
  • Brooklyn, NY
National Provider Identifier
1790719524
Registry record updated Nov 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
THE BROOKLYN HOSPITAL CENTER
Practice address
121 Dekalb Ave
Brooklyn, NY 11201-5425
Phone
(718) 488-3736
NPI assigned
Jul 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2014

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

Authorized official

Name
Bernadette Selby
Title
Avp of Patient Accounting
Phone
(718) 488-3736

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

121 Dekalb Ave
Brooklyn, NY 11201-5425

Mailing address

15 Metrotech Ctr Ste 3
C/O Bernadette Selby, Avp of Patient Accounting
Brooklyn, NY 11201-3826
Phone (718) 488-3736

Other identifiers 2

IdentifierTypeStateIssuer
287OtherNYEMPIRE BLUE CROSS
00243614MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060816000236 NY Part A Provider - Hospital 4385535715 Practice locations: Brooklyn, NY

Hospital certification: CCN 33T056

Legal name
THE BROOKLYN HOSPITAL CENTER
Organization structure
CorporationNon-profit
Incorporated
May 8, 1845 in NY
Enrollment address
121 Dekalb Ave
Brooklyn, NY 11201-5425
Hospital Rehabilitation Unit
Hospital subgroups
General, Acute care, Children’s, Rehabilitation, Specialty hospital

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 4

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

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
The Brooklyn Hospital CenterCCN 33T056
Ownership
Non-profit
Certified
Jan 1, 2000

National Provider Directory

National Provider Directory

Locations

15 Metrotech Ctr
Ste 3
Brooklyn, NY 11201

Ownership & related parties

All disclosed owners & managing parties 33

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Bernard Dayton Individual Corporate Director Dec 1, 2010
Donald Minarcik Individual Corporate Director Dec 1, 2010
W-2 Managing Employee Dec 1, 2010
Martha Bakos Dietz Individual Corporate Director May 1, 2021
Jessie McClintock Kelly Individual Corporate Director Jun 1, 2020
Lenue H Singletary Individual Corporate Director Sep 1, 2014
Keith Leonard Kinch Individual Corporate Director Sep 1, 2020
Sharon Lawson-Davis Individual Corporate Director Jun 28, 2021
Joel Leitner Individual Corporate Director Sep 1, 2014
Sam Amirfar Individual Corporate Director Dec 15, 2014
Dino Veronese Individual Corporate Director Dec 1, 2010
Armand P Asarian Individual Corporate Director Dec 1, 2010
Gary Terrinoni Individual Corporate Director Nov 2, 2015
J. Barclay Collins Individual Corporate Director Dec 1, 2010
Srividya Madhusudhan Individual Corporate Director Mar 10, 2022
John Wash Individual Corporate Director Jul 9, 2018
Harry Dym Individual Corporate Director Dec 1, 2010
Judy McLaughlin Individual Corporate Director Aug 21, 2017
Earl Weiner Individual Corporate Director Dec 1, 2010
Alireza Esmaeilzadeh Individual Corporate Director Dec 1, 2014
Carlos Naudon Individual Corporate Director Dec 1, 2010
Gaetano Mennonna Individual Corporate Director Nov 11, 2013
Staccy Friedman Individual Corporate Director Dec 1, 2010
Maria Forini Ramirez Individual Corporate Director Dec 1, 2010
Deirdre Quinn Individual Corporate Director May 1, 2018
Pratibha Vemulapalli Individual Corporate Director Jan 3, 2017
Anne Elizabeth Fontaine Individual Corporate Director Dec 1, 2010
James Gasperino Individual Corporate Director Oct 5, 2016
Olamide Ajibesin Individual Corporate Director May 1, 2018
Cathy Sommer Individual Corporate Director May 1, 2021
Wayong Lai Austin Individual Corporate Director May 1, 2021
Sharon Wickes Individual Corporate Director Jan 25, 2016
Robert Aulicino Individual Corporate Director Aug 1, 2016
Vasantha K Kondamudi Individual Corporate Director Dec 1, 2010

Owners & managing parties with NPI records 6

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415232000000",
    "number": "1790719524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 METROTECH CTR STE 3",
            "address_2": "C/O BERNADETTE SELBY, AVP OF PATIENT ACCOUNTING",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112013826",
            "telephone_number": "718-488-3736",
            "fax_number": "718-488-3725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 DEKALB AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015425",
            "telephone_number": "718-488-3736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BROOKLYN HOSPITAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2014-11-06",
        "status": "A",
        "authorized_official_last_name": "SELBY",
        "authorized_official_first_name": "BERNADETTE",
        "authorized_official_title_or_position": "AVP OF PATIENT ACCOUNTING",
        "authorized_official_telephone_number": "718-488-3736"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BLUE CROSS",
            "identifier": "287",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00243614",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.