Brookdale University Hospital

Primary specialty

Rural Acute Care HospitalTaxonomy code 282NR1301X

License

009189-01 Issued in NY

Legal business name

BROOKDALE UNIVERSITY HOSPITAL

Practice address

16410 84TH Ave Apt 4K
Jamaica, NY 11432-1803

Phone

(718) 551-2772

NPI assigned

May 20, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Sundeep Chhabra, PA-C

Title

Physician Assistant

Phone

(718) 240-5000

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211241600000",
    "number": "1982861605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16410 84TH AVE APT 4K",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114321803",
            "telephone_number": "718-551-2772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16410 84TH AVE APT 4K",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114321803",
            "telephone_number": "718-551-2772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKDALE UNIVERSITY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-20",
        "last_updated": "2008-05-20",
        "status": "A",
        "authorized_official_last_name": "CHHABRA",
        "authorized_official_first_name": "SUNDEEP",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT",
        "authorized_official_telephone_number": "718-240-5000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "282NR1301X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Rural",
            "state": "NY",
            "license": "009189-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sofia Brisson, PA-C
• Tatyana Britan
• Jayson Brito, MHC
• Joseph Brocavich
• Bronx Medical Health Provider PC
• Brooklyn Queens Occupational Therapy Consultants LLC
• Brooklyn Select Physician
• Natalie Brooks Wilson, LCSW
• Carol Brooks, LCSW
• Kim Monique Brooks, LPN

• Rural Acute Care Hospital in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Rural Acute Care Hospital in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; 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.