WYCKOFF HEIGHTS MEDICAL CENTER (NPI# 1093196776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093196776 |
| Entity Type | Organization |
| Organization Name | WYCKOFF HEIGHTS MEDICAL CENTER |
| Practice Address |
675 Water Street, Apt 16d New York NY 10002 |
| Practice Telephone | 4079272426 |
| Mailing Telephone | 4079272426 |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2015-06-17 |
| Authorized Official Name | DR. STEVE QUANG HUYNH (PODIATRIST) |
| Authorized Official Telephone | 4079272426 |
| Authorized Official Credential | D.P.M |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
N004232 | NY | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104379593 | Wyckoff Heights Medical Center | Clinic/Center | 545 Christopher Ave, Brooklyn, NY 11212-7029 | 2016-08-02 |
| 1609258227 | Wyckoff Heights Medical Center | General Acute Care Hospital | 987 Putnam Ave Apt 3a, Brooklyn, NY 11221-4295 | 2015-06-19 |
| 1851772511 | Wyckoff Heights Medical Center | Clinic/Center | 43 Powers St # 1, Brooklyn, NY 11211-3514 | 2015-06-17 |
| 1659752459 | Wyckoff Heights Medical Center | General Acute Care Hospital | 653 Knickerbocker Ave, Apt 3r, Brooklyn, NY 11221-5040 | 2015-06-17 |
| 1700886322 | Wyckoff Heights Medical Center | General Acute Care Hospital | 374 Stockholm St, Brooklyn, NY 11237-4006 | 2005-07-26 |
| 1477115251 | Wyckoff Heights Medical Center | Emergency Medicine | 374 Stockholm St, Brooklyn, NY 11237-4006 | 2019-07-02 |
| 1639551070 | Wyckoff Heights Medical Center | General Acute Care Hospital | 10460 Queens Blvd, Apt 10p, Forest Hills, NY 11375-7318 | 2015-06-22 |
| 1902288459 | Wyckoff Heights Medical Center | General Acute Care Hospital | 987 Putnam Ave Apt 3a, Brooklyn, NY 11221-4295 | 2015-06-22 |
| 1922480607 | Wyckoff Heights Medical Center | General Acute Care Hospital | 374 Stockholm Street, Brooklyn, NY 11237 | 2015-06-18 |
| 1033514393 | Wyckoff Heights Medical Center | General Acute Care Hospital | 374 Stockholm St, Brooklyn, NY 11237-4006 | 2014-10-29 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | WYCKOFF HEIGHTS MEDICAL CENTER | 374 Stockholm St, Brooklyn, NY 11237-4006 |
| Street Address |
675 WATER STREET, APT 16D |
| City | NEW YORK |
| State | NY |
| Zip Code | 10002 |
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| 1962044776 | Min Lin | Student in an Organized Health Care Education/Training Program | 44-46 Market St Apt 6a, New York, NY 10002 | 2019-10-14 |
| 1184274540 | Brittany Irby | Community Health Worker | 189 Eldridge Street, New York, NY 10002 | 2019-09-18 |
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| 1174031546 | Vanessa Lisa Cruz | Specialist | 211 Eldridge Street, 3d, New York, NY 10002 | 2018-01-18 |
| 1295243889 | Robert Shum | Peer Specialist | 275 Cherry Street Apt.7a, New York, NY 10002 | 2018-01-17 |
| 1184147449 | Brooklyn Spine and Sports Medicine P.C. | Physical Medicine & Rehabilitation | 415 Grand New York Street, Apt E1707, New York, NY 10002 | 2017-07-19 |
| 1548780893 | Sana Khan | Student in an Organized Health Care Education/Training Program | 90 Rivington St, New York, NY 10002 | 2017-06-27 |
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| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
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| 1467933002 | New York Center for Ambulatory Surgery LLC | Clinic/Center | 1210 2nd Ave, New York, NY 10065-7403 | 2018-08-22 |
| 1841788809 | Manhattan Reproductive Surgery Center, LLC | Clinic/Center | 65 Broadway Fl 21, New York, NY 10006-2503 | 2018-04-25 |
| 1649786377 | Fifth Ave Podiatric Surgery Suite | Clinic/Center | 133 E 54th St Rm 2a, New York, NY 10022-4538 | 2017-12-18 |
| 1346792165 | Hss Asc of Manhattan LLC | Clinic/Center | 1233 2nd Ave, New York, NY 10065-6705 | 2016-10-27 |
| 1184074361 | Unique Surgical Pavilion LLC | Clinic/Center | 369 Lexington Ave Ste 800, New York, NY 10017-6506 | 2016-06-17 |
| 1689021529 | Manhattan Ob/gyn Surgical Suites | Clinic/Center | 144 E 44th St Ste 295, New York, NY 10017-4008 | 2016-05-20 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.