Active NPI
The Brooklyn Hospital Center
- General Acute Care Hospital
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 287 | Other | NY | EMPIRE BLUE CROSS |
| 00243614 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060816000236 | NY | Part A Provider - Hospital | 4385535715 | Practice locations: Brooklyn, NY |
Hospital certification: CCN 33T056
- Legal name
- THE BROOKLYN HOSPITAL CENTER
- Organization structure
- Corporation
- Incorporated
- May 8, 1845 in NY
- Enrollment address
- 121 Dekalb Ave
Brooklyn, NY 11201-5425 - Hospital subgroups
- General, Acute care, Children’s, Rehabilitation, Specialty hospital
Related certifications (CCN) 1
Facilities connected through Provider of Services related, parent or unit certification numbers.
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1326046467
Unit of hospital
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 Center
- Ownership
- Non-profit
- Certified
- Jan 1, 2000
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Bernard Dayton | Corporate Director | Dec 1, 2010 | |
| Donald Minarcik | Corporate Director | Dec 1, 2010 | |
| W-2 Managing Employee | Dec 1, 2010 | ||
| Martha Bakos Dietz | Corporate Director | May 1, 2021 | |
| Jessie McClintock Kelly | Corporate Director | Jun 1, 2020 | |
| Lenue H Singletary | Corporate Director | Sep 1, 2014 | |
| Keith Leonard Kinch | Corporate Director | Sep 1, 2020 | |
| Sharon Lawson-Davis | Corporate Director | Jun 28, 2021 | |
| Joel Leitner | Corporate Director | Sep 1, 2014 | |
| Sam Amirfar | Corporate Director | Dec 15, 2014 | |
| Dino Veronese | Corporate Director | Dec 1, 2010 | |
| Armand P Asarian | Corporate Director | Dec 1, 2010 | |
| Gary Terrinoni | Corporate Director | Nov 2, 2015 | |
| J. Barclay Collins | Corporate Director | Dec 1, 2010 | |
| Srividya Madhusudhan | Corporate Director | Mar 10, 2022 | |
| John Wash | Corporate Director | Jul 9, 2018 | |
| Harry Dym | Corporate Director | Dec 1, 2010 | |
| Judy McLaughlin | Corporate Director | Aug 21, 2017 | |
| Earl Weiner | Corporate Director | Dec 1, 2010 | |
| Alireza Esmaeilzadeh | Corporate Director | Dec 1, 2014 | |
| Carlos Naudon | Corporate Director | Dec 1, 2010 | |
| Gaetano Mennonna | Corporate Director | Nov 11, 2013 | |
| Staccy Friedman | Corporate Director | Dec 1, 2010 | |
| Maria Forini Ramirez | Corporate Director | Dec 1, 2010 | |
| Deirdre Quinn | Corporate Director | May 1, 2018 | |
| Pratibha Vemulapalli | Corporate Director | Jan 3, 2017 | |
| Anne Elizabeth Fontaine | Corporate Director | Dec 1, 2010 | |
| James Gasperino | Corporate Director | Oct 5, 2016 | |
| Olamide Ajibesin | Corporate Director | May 1, 2018 | |
| Cathy Sommer | Corporate Director | May 1, 2021 | |
| Wayong Lai Austin | Corporate Director | May 1, 2021 | |
| Sharon Wickes | Corporate Director | Jan 25, 2016 | |
| Robert Aulicino | Corporate Director | Aug 1, 2016 | |
| Vasantha K Kondamudi | 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.
-
- Colon & Rectal Surgery Physician
- Brooklyn, NY
- NPI 1528150034
Corporate Director
-
- Oral and Maxillofacial Pathology Dentistry
- Brooklyn, NY
- NPI 1366538910
Corporate Director
-
- Critical Care Medicine (Internal Medicine) Physician
- Bronx, NY
- NPI 1790810398
Corporate Director
Practitioners & affiliated clinicians
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Physical Medicine & Rehabilitation Physician
- Brooklyn, NY
- NPI 1972966752
Inpatient rehabilitation facility
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.