Active NPI
The Brookdale Hospital Medical Center
- Diagnostic Radiology Physician
- Brooklyn, NY
National Provider Identifier
1902820335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- THE BROOKDALE HOSPITAL MEDICAL CENTER
- Practice address
- 1 Brookdale PLZ
BLDG CHC 4TH Floor
Brooklyn, NY 11212-3139 - Phone
- (718) 240-5271
- Fax
- (718) 485-5858
- NPI assigned
- Jul 27, 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
- Charles Salvo
- Title
- Senior Vice President
- Phone
- (718) 240-6374
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Body Imaging Physician | 2085B0100X | |||
| Nuclear Radiology Physician | 2085N0904X | |||
| Diagnostic Radiology Physician | 2085R0202X | Primary | ||
| Vascular & Interventional Radiology Physician | 2085R0204X |
Addresses
Primary practice location
1 Brookdale PLZ
BLDG CHC 4TH Floor
Brooklyn, NY 11212-3139
Mailing address
1 Brookdale Plaza
Attn: Chuck Salvo
Brooklyn, NY 11212-3198
Phone (718) 240-5811
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00610013 | Medicaid | NY |
Other names 1
- Brookdale Radiology Associates
National Provider Directory
National Provider DirectoryLocations
1 Brookdale Plz
Bldg Chc
Brooklyn, NY 11212
Phone (718) 240-5271
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1731456000000",
"number": "1902820335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 BROOKDALE PLAZA",
"address_2": "ATTN: CHUCK SALVO",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112123198",
"telephone_number": "718-240-5811",
"fax_number": "718-240-5805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 BROOKDALE PLZ",
"address_2": "BLDG CHC 4TH FLOOR",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112123139",
"telephone_number": "718-240-5271",
"fax_number": "718-485-5858"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE BROOKDALE HOSPITAL MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-27",
"last_updated": "2024-11-13",
"certification_date": "2024-11-13",
"status": "A",
"authorized_official_last_name": "SALVO",
"authorized_official_first_name": "CHARLES",
"authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
"authorized_official_telephone_number": "718-240-6374"
},
"taxonomies": [
{
"code": "2085B0100X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Radiology, Body Imaging",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085N0904X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Radiology, Nuclear Radiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
},
{
"code": "2085R0204X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00610013",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Brookdale Radiology Associates",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Brookdale Radiology Associates",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Brooklyn, NY
- The Brookdale Hospital Medical Center
- The Brookdale Hospital Medical Center
- The Brookdale Hospital Medical Center
- The Brookdale Hospital Medical Center
- The Brookdale Hospital Medical Center
- The Brookdale Hospital Medical Center
- The Brookdale University Hospital and Medical Center
- The Brooklyn Gynecological Society Inc
- The Brooklyn Hospital (The Brooklyn Hospital Nephrology Physician Group Fund)
- The Brooklyn Hospital
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.