Brookdale Physicians Dialysis Associates

Primary specialty

Chronic Disease HospitalTaxonomy code 281P00000X

License

7001284R Issued in NY

Legal business name

BROOKDALE PHYSICIANS DIALYSIS ASSOCIATES

Practice address

9701 Church Ave
Brooklyn, NY 11212-3137

Phone

(718) 495-4684

Fax

(718) 495-4684

NPI assigned

Apr 10, 2007

Last updated

Aug 22, 2020By 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

Dr. Warren Shapiro, M.D.

Title

Medical Director

Phone

(718) 495-4680

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942423041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9701 CHURCH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112123137",
            "telephone_number": "718-495-4684",
            "fax_number": "718-495-4684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9701 CHURCH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112123137",
            "telephone_number": "718-495-4684",
            "fax_number": "718-495-4684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKDALE PHYSICIANS DIALYSIS ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHAPIRO",
        "authorized_official_first_name": "WARREN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "718-495-4680",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "281P00000X",
            "taxonomy_group": "",
            "desc": "Chronic Disease Hospital",
            "state": "NY",
            "license": "7001284R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brookdale Hospital Medical Center
• Brookdale Hospital Medical Center (Brookdale Emergency Physicians Associates)
• Brookdale Pharma Inc (Brookdale Pharmacy-LTC)
• Brookdale Pharma Inc (Brookdale Pharmacy)
• Brookdale Physicians Dialysis Associates
• Brookdale Plaza Nephrology Assoc. PC
• Brookdale RX Inc. (Brookdale Care Rx)
• Brookdale University Hospital
• Brookdale University Hospital and Medical Center
• Brookdale University Hospital and Medical Center

• Chronic Disease Hospital in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Chronic Disease 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.