NPIMap

Organization Active NPI

Wyckoff Heights Medical Center

  • Podiatric Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1851772511
Registry record updated Jun 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
License
N004232 Issued in NY
Legal business name
WYCKOFF HEIGHTS MEDICAL CENTER
Practice address
43 Powers St # 1
Brooklyn, NY 11211-3514
Phone
(818) 915-5705
NPI assigned
Jun 17, 2015
Last updated
Jun 17, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2015

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

Authorized official

Name
Dr. Ronald Guberman
Title
Residency Director
Phone
(718) 963-7332

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Clinic/Center 261QP1100X N004232 NY Primary

Addresses

Primary practice location

43 Powers St # 1
Brooklyn, NY 11211-3514

Mailing address

43 Powers St # 1
Brooklyn, NY 11211-3514
Phone (818) 915-5705

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1434499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434499200000",
    "number": "1851772511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 POWERS ST # 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112113514",
            "telephone_number": "818-915-5705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 POWERS ST # 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112113514",
            "telephone_number": "818-915-5705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYCKOFF HEIGHTS MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-17",
        "last_updated": "2015-06-17",
        "status": "A",
        "authorized_official_last_name": "GUBERMAN",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "RESIDENCY DIRECTOR",
        "authorized_official_telephone_number": "718-963-7332",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "NY",
            "license": "N004232",
            "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 Jun 17, 2015; 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.