SUNY DOWNSTATE MEDICAL CENTER (NPI# 1104065689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104065689 |
| Entity Type | Organization |
| Organization Name | SUNY DOWNSTATE MEDICAL CENTER |
| Other Organization Name | DOWNSTATE MEDICAL |
| Practice Address |
1486 Dunbar Street Farrockaway NY 11691 |
| Mailing Address |
1486 Dunbar St Far Rockaway NY 11691-1648 |
| Practice Telephone | 7184710798 |
| Mailing Telephone | 7184710798 |
| Enumeration Date | 2009-02-06 |
| Last Update Date | 2009-02-06 |
| Authorized Official Name | MR. EDDISON SAMUEL ANDREWS (PHYSICIAN ASSISTANT) |
| Authorized Official Telephone | 7182708961 |
| Authorized Official Credential | PA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 007920 | NY | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | PA LICENCE # | 007920 | 01 |
| Other Name | Type Code |
|---|---|
| downstate medical | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144565177 | Suny Downstate Medical Center | General Acute Care Hospital | 2 Fuschetto Ct, Farmingdale, NY 11735-4262 | 2012-12-03 |
| 1407110760 | Suny Downstate Medical Center | General Acute Care Hospital | 89 Joseph Ave, Staten Island, NY 10314-5054 | 2012-07-01 |
| 1376820100 | Suny Downstate Medical Center | General Acute Care Hospital | 450 Clarkson Ave # 1257, Brooklyn, NY 11203-2012 | 2011-11-08 |
| 1346520350 | Suny Downstate Medical Center | General Acute Care Hospital | 264 72nd St Apt 1b, Brooklyn, NY 11209-2151 | 2011-08-22 |
| 1710201512 | Suny Downstate Medical Center | General Acute Care Hospital | 450 Clarkson Ave Ste D, Brooklyn, NY 11203-2012 | 2010-03-23 |
| 1033320601 | Suny Downstate Medical Center | General Acute Care Hospital | 450 Clarkson Ave # 1189, Brooklyn, NY 11203-2056 | 2007-05-25 |
| 1124492285 | Suny Downstate Medical Center | General Acute Care Hospital | 450 Clarkson Ave, Box 50, Brooklyn, NY 11203-2012 | 2015-11-30 |
| 1114317849 | Suny Downstate Medical Center | Chronic Disease Hospital | 450 Clarkson Ave, Brooklyn, NY 11203-2012 | 2015-02-03 |
| 1538591862 | Suny Downstate Medical Center | General Acute Care Hospital | 450 Clarkson Ave, Brooklyn, NY 11203-2012 | 2013-08-09 |
| 1689923518 | Suny Downstate Medical Center | General Acute Care Hospital | 445 Lenox Rd, Brooklyn, NY 11203 | 2012-09-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SUNY DOWNSTATE MEDICAL CENTER | 450 Clarkson Ave, Brooklyn, NY 11203-2012 |
| Street Address |
1486 DUNBAR STREET |
| City | FARROCKAWAY |
| State | NY |
| Zip Code | 11691 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487261772 | Jalpa Dholaria | Physical Therapist | 265 Beach 20th Street, Far Rockaway, NY 11691 | 2020-09-30 |
| 1578179529 | Sneha Satheesh Menon | Physical Therapist | 265 Beach 20th Street Far Rockaway, Queens, NY 11691 | 2020-09-16 |
| 1558997676 | Manuel Garcia Morell | Student in an Organized Health Care Education/Training Program | 327 Beach 19 Th St, Far Rockaway, Queens, NY 11691 | 2020-03-20 |
| 1750927992 | Barbrara Graham | Licensed Practical Nurse | 143 Baech 26th Street, Apt 2, Far Rockaway, NY 11691 | 2019-11-22 |
| 1639735665 | Ernest Okwuonu | Student in an Organized Health Care Education/Training Program | 327 Beach 19th St., Rockaway, NY 11691 | 2019-05-15 |
| 1700342433 | Reliable Care Consulting LLC | Case Management | 1858 Cornaga Ave, 2nd Fl., Far Rockaway, NY 11691 | 2019-02-19 |
| 1336604008 | Menaka Abeyewardene | Student in an Organized Health Care Education/Training Program | St. John's Episcopal Hospital, 327 Beach 19th Street, Far Rockaway, NY 11691 | 2019-02-06 |
| 1346733441 | Keisha Taylor-glanville | Social Worker | 20-2 Seagrit Blvd., Queens, NY 11691 | 2018-06-13 |
| 1336631035 | Michael Y Ivry Dds PC | Oral & Maxillofacial Surgery | 2550 Seagirt Blvd, Far Rockaway, NY 11691 | 2018-05-30 |
| 1992202071 | Angel David Aponte | Student in an Organized Health Care Education/Training Program | 327 Beach 19st, Internal Medicine Dpt, Far Rockaway, NY 11691 | 2018-04-06 |
| Find all providers in zip 11691 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225507114 | University Hospital At Stony Brook | General Acute Care Hospital | 740 County Road 39, Southampton, NY 11968-5090 | 2018-11-20 |
| 1184108144 | Samaritan Hospital of Troy, New York | General Acute Care Hospital | 500 Federal St Ste 602, Troy, NY 12180-2832 | 2018-09-17 |
| 1225559149 | Zulfa Omer | General Acute Care Hospital | 234 E 149th St Ste 20-8, Bronx, NY 10451-5504 | 2017-06-30 |
| 1992230171 | Ny Presbyterian-queens | General Acute Care Hospital | 85-88 Parsons Blvd., Jamaica, NY 11432 | 2017-04-26 |
| 1760916324 | Nayab Chowhan | General Acute Care Hospital | 818 Friel Pl, Brooklyn, NY 11218-2609 | 2017-04-20 |
| 1629509146 | Luke Alessi | General Acute Care Hospital | 207 Bayville Ave, Bayville, NY 11709-1652 | 2017-03-26 |
| 1376083378 | Department of Education | General Acute Care Hospital | 923 Elton Street, 2nd Floor, Brooklyn, NY 11208 | 2017-02-24 |
| 1255878492 | Winthrop University Hospital | General Acute Care Hospital | 212 Jericho Turnpike, Mineola, NY 11501 | 2017-01-26 |
| 1316480353 | Compassionate Companion Care, Pllc | General Acute Care Hospital | 204 Hendy Creek Rd, Pine City, NY 14871-9760 | 2016-11-23 |
| 1164964078 | Adrielle Ofosu | General Acute Care Hospital | 84 Kimball Ave, Yonkers, NY 10704-4222 | 2016-11-09 |
| Find all providers with the same taxonomy | ||||
| City | FARROCKAWAY |
| Zip Code | 11691 |
Please comment or provide details below to improve the information on SUNY DOWNSTATE MEDICAL CENTER.
| 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.