Brookdale University Medical Center

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

BROOKDALE UNIVERSITY MEDICAL CENTER

Practice address

1 Brookdale PLZ
Brooklyn, NY 11212-3139

Phone

(718) 986-4075

NPI assigned

Apr 28, 2014

Organization subpart

No

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

Authorized official

Name

Sujana Dontukurthy, M.D

Title

Pgy1

Phone

(917) 902-1779

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1398643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398643200000",
    "number": "1972913143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BROOKDALE PLZ",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112123139",
            "telephone_number": "718-986-4075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BROOKDALE PLZ",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112123139",
            "telephone_number": "718-986-4075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKDALE UNIVERSITY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-28",
        "last_updated": "2014-04-28",
        "status": "A",
        "authorized_official_last_name": "DONTUKURTHY",
        "authorized_official_first_name": "SUJANA",
        "authorized_official_title_or_position": "PGY1",
        "authorized_official_telephone_number": "917-902-1779",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BLUECROSS BLUE SHIELD",
            "identifier": "YLF87920583",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brookdale RX Inc.
• Brookdale University Hospital
• Brookdale University Hospital and Medical Center
• Brookdale University Hospital and Medical Center
• Brookdale University Hospital and Medical Center
• Brookdalerx Inc
• Brookdalerx Inc
• Kristen Hayley Brookes, RDT, LCAT
• David Brookhim
• Brooklyn 38 LCSW PLLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2014; 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.