Active NPI
Maimonides Medical Center
- Critical Access Hospital
- Brooklyn, NY
National Provider Identifier
1790820702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Access Hospital
- License
- 008093
- Legal business name
- MAIMONIDES MEDICAL CENTER
- Practice address
- 4802 10TH Ave
Brooklyn, NY 11219-2916 - Phone
- (718) 283-6000
- NPI assigned
- Feb 20, 2007
- 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
- Ignazio Dimino, PA
- Title
- Chief PA
- Phone
- (718) 283-6000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Access Hospital | 282NC0060X | 008093 | NY | Primary |
Addresses
Primary practice location
4802 10TH Ave
Brooklyn, NY 11219-2916
Mailing address
119 Parkville Ave
Brooklyn, NY 11230-1111
Phone (718) 686-1324
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1790820702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "119 PARKVILLE AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112301111",
"telephone_number": "718-686-1324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4802 10TH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112192916",
"telephone_number": "718-283-6000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAIMONIDES MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-20",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "DIMINO",
"authorized_official_first_name": "IGNAZIO",
"authorized_official_title_or_position": "CHIEF PA",
"authorized_official_telephone_number": "718-283-6000",
"authorized_official_credential": "PA"
},
"taxonomies": [
{
"code": "282NC0060X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital, Critical Access",
"state": "NY",
"license": "008093",
"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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.