The Brooklyn Hospital Center

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

THE BROOKLYN HOSPITAL CENTER

Doing business as

The Brooklyn Hospital Center DIP Dermatology Physician Group Fund

Practice address

121 Dekalb Ave
Brooklyn, NY 11201-5425

Phone

(718) 250-8663

Fax

(718) 250-6850

NPI assigned

May 30, 2007

Last updated

Aug 3, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John Carroll, M.D.

Title

Chief Medical Officer

Phone

(718) 250-6676

Specialties & licenses 1

Addresses

Other names 1

• The Brooklyn Hospital Center DIP Dermatology Physician Group Fund Doing business as

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186099200000",
    "number": "1922209659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 DEKALB AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015425",
            "telephone_number": "718-250-8663",
            "fax_number": "718-250-6850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 DEKALB AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015425",
            "telephone_number": "718-250-8663",
            "fax_number": "718-250-6850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BROOKLYN HOSPITAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2007-08-03",
        "status": "A",
        "authorized_official_last_name": "CARROLL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "718-250-6676",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Brooklyn Hospital Center DIP Dermatology Physician Group Fund",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• The Brooklyn Hospital Center
• The Brooklyn Hospital Center (Department of ENT)
• The Brooklyn Hospital Center
• The Brooklyn Hospital Center (Department of OBSGYN Faculty Practice)
• The Brooklyn Hospital Center (Department of Surgery)
• The Brooklyn Hospital Center
• The Brooklyn Hospital Center
• The Brooklyn Hospital Center (The Brooklyn Hospital Center DIP Family Practice Physician Group Fund)
• The Brooklyn Medicine Practice, PLLC
• The Cardiacare Group

• Dermatology Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Dermatology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2007; 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.