Brookdale Hospital

Primary specialty

Critical Access HospitalTaxonomy code 282NC0060X

License

007888 Issued in NY

Legal business name

BROOKDALE HOSPITAL

Practice address

23 Beachview Ave
Staten Island, NY 10306-5106

Phone

(718) 240-5495

NPI assigned

Feb 13, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Yelena Azarova, PACNPI 1285860494

Title

PA Surgery

Phone

(718) 240-5000

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yelena Azarova, RPAC

  • Surgical Physician Assistant
  • Brooklyn, NY
  • NPI 1285860494
  NPD (past) Authorized official

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922140318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 BEACHVIEW AVENUE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10306",
            "telephone_number": "718-240-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 BEACHVIEW AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103065106",
            "telephone_number": "718-240-5495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKDALE HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AZAROVA",
        "authorized_official_first_name": "YELENA",
        "authorized_official_title_or_position": "PA SURGERY",
        "authorized_official_telephone_number": "718-240-5000",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PAC"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "NY",
            "license": "007888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Anthony Brogna, D.C.
• Vincent J Broillet, MD
• Dmitri Broitman, B.S. PHARM.
• Alexandra Bronis
• Brook Island Medical Associates, PC
• Brooklyn Consultants LLC
• Brooklyn Nuclear Spect Imaging, PC
• Brooklyn Physicians PC
• Golden Cheyenne Brooks, BSW
• Hilary Brooks, CRC

• Critical Access Hospital in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Critical Access Hospital in New York

• 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.