Maimonides Medical Center

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

7001020H Issued in NY

Legal business name

MAIMONIDES MEDICAL CENTER

Practice address

6010 Bay Pkwy
Brooklyn, NY 11204-2567

Phone

(718) 283-8773

Fax

(718) 283-8796

NPI assigned

Jan 31, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Martin Cammer

Title

Sr VP, Finance

Phone

(718) 283-3900

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• MMC BAY PARKWAY PATHOLOGY LABORATORY Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

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

• Yvette Baker, RN

  • Registered Nurse
  • Brooklyn, NY
  • NPI 1508123308
  NPD (past)
• Rebecca K Castro, LCSW

  • Clinical Social Worker
  • Brooklyn, NY
  • NPI 1649589144
  NPD (past)
• Xin Ling Elaine Jiang

  • Social Worker
  • Staten Island, NY
  • NPI 1982371878
  NPD (past)
• Wayne Michael Santiago

  • Mental Health Counselor
  • Brooklyn, NY
  • NPI 1356650899
  NPD (past)
• Laura Terranova, CSW

  • Clinical Social Worker
  • Brooklyn, NY
  • NPI 1699084517
  NPD (past)

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

{
    "created_epoch": "1359590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374105600000",
    "number": "1922347673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4802 10TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112192916",
            "telephone_number": "718-283-3900",
            "fax_number": "718-283-8796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6010 BAY PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112042567",
            "telephone_number": "718-283-8773",
            "fax_number": "718-283-8796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIMONIDES MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-31",
        "last_updated": "2013-07-18",
        "status": "A",
        "authorized_official_last_name": "CAMMER",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "SR VP, FINANCE",
        "authorized_official_telephone_number": "718-283-3900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NY",
            "license": "7001020H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00243641",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MMC BAY PARKWAY PATHOLOGY LABORATORY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maimonides Medical Center
• Maimonides Medical Center
• Maimonides Medical Center
• Maimonides Medical Center
• Maimonides Medical Center
• Maimonides Medical Center
• Maimonides Medical Center
• Maimonides Medical Center
• Maimonides Medical Center
• Maimonides Medical Center

• Clinical Medical Laboratory in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Clinical Medical Laboratory in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.