Organization Active NPI

Maimonidesmedicalcenter

  • Critical Access Hospital
  • Brooklyn, NY
National Provider Identifier
1801809041
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
F300541 Issued in NY
Legal business name
MAIMONIDESMEDICALCENTER
Practice address
4801- 10TH Avenue
Department of Medicine
Brooklyn, NY 11219-2801
Phone
(718) 283-6000
Fax
(718) 283-8498
NPI assigned
Aug 15, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Veronica Marie Narro, NURSE PRACTITIONER
Title
Wound Consultant
Phone
(718) 283-6000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X F300541 NY Primary

Addresses

Primary practice location

4801- 10TH Avenue
Department of Medicine
Brooklyn, NY 11219-2801

Mailing address

4801 1Oth Avenue
Brooklyn, NY 11219-2801
Phone (718) 283-6000

Other identifiers 1

IdentifierTypeStateIssuer
02196514MedicaidNY

National Provider Directory

National Provider Directory

Locations

4801 1st Ave
Brooklyn, NY 11232

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801809041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 1OTH AVENUE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112192801",
            "telephone_number": "718-283-6000",
            "fax_number": "718-283-8498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801- 10TH AVENUE",
            "address_2": "DEPARTMENT OF MEDICINE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112192801",
            "telephone_number": "718-283-6000",
            "fax_number": "718-283-8498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIMONIDESMEDICALCENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NARRO",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "WOUND CONSULTANT",
        "authorized_official_telephone_number": "718-283-6000",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "NY",
            "license": "F300541",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02196514",
            "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 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.

Verify at the official NPI Registry.