WYCKOFF HEIGHTS MEDICAL CENTER


Address: 545 Christopher Ave, Brooklyn, NY 11212-7029
Phone: 3474666341

WYCKOFF HEIGHTS MEDICAL CENTER (NPI# 1104379593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104379593
Entity Type Organization
Organization Name WYCKOFF HEIGHTS MEDICAL CENTER
Practice Address 545 Christopher Ave
Brooklyn
NY 11212-7029
Practice Telephone 3474666341
Enumeration Date 2016-08-02
Last Update Date 2016-08-02
Authorized Official Name DESIREE BULLOCK (CLINICAL SUPERVISOR)
Authorized Official Telephone 3474666341
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261Q00000X Clinic/Center Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
NY LICENSE NUMBER RO40749-1 01

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
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
1093196776 Wyckoff Heights Medical Center Clinic/Center 675 Water Street, Apt 16d, New York, NY 10002 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

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities WYCKOFF HEIGHTS MEDICAL CENTER 374 Stockholm St, Brooklyn, NY 11237-4006

Office Location

Street Address 545 CHRISTOPHER AVE
City BROOKLYN
State NY
Zip Code 11212-7029

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396365136 Ama Asabea Asare Student in an Organized Health Care Education/Training Program Emergency Medicine, Brookdale University Hospital and M, 1 Brookdale Plaza, Brooklyn, NY 11212 2020-04-22
1811516560 Amrusha Musunuru Student in an Organized Health Care Education/Training Program Room 222 Chc, Department of Surgical Services, The Broo, Brookdale, NY 11212 2020-04-13
1508414707 Sri Lakshmi Atthota Student in an Organized Health Care Education/Training Program Brookdale University Hospital,room 222, Chc, One Brookdale Plaza, Brooklyn,new York, NY 11212 2019-08-30
1457812273 Shane Devanand Naidoo Student in an Organized Health Care Education/Training Program Dept of Emergency Medicine, Brookdale Hospital Med Cntr, 1 Brookdale Plaza, Brooklyn, NY 11212 2019-03-26
1790262467 Xiao Xiong You Student in an Organized Health Care Education/Training Program 1 Brookdale Plaza, Department of Adult Psychiatry, Brooklyn, NY 11212 2018-07-25
1215426143 Danielle Levy Counselor 298 Hegeman Ave, Brooklyn, NY 11212 2018-05-07
1699298026 Alexander Andreev Student in an Organized Health Care Education/Training Program 1 Brookdale Plaza, Brooklyn, Brooklyn, NY 11212 2017-07-18
1598288011 Naga Venkata Divya Challa Student in an Organized Health Care Education/Training Program One Brookdale Plaza, 8 Chc Room 801-5, Department of Pediatrics, Brookdale University Hospital, Brooklyn, NY 11212 2017-07-18
1912428921 Sadrac Edouard Licensed Practical Nurse 498 East 94th St, Brooklyn, NY 11212 2017-06-29
1023544194 Orrett Layne Licensed Practical Nurse 279 East 92nd Street, Brooklyn, NY 11212 2017-05-10
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Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1649884537 Bridge To Care Nurse Practitioner In Psychiatry PC Clinic/Center 3005 Church Ave, Brooklyn, NY 11226-4209 2020-09-08
1093328890 Philomene Goueliani Phd Clinic/Center 1461 E 103rd St, Brooklyn, NY 11236-4513 2020-08-31
1487279238 Nss Medical Services, Pllc Clinic/Center 322 Linden Blvd., Ground Floor, Brooklyn, NY 11226 2020-06-08
1912541061 Ajs Brooklyn Medical Practice PC Clinic/Center 475 Atlantic Ave Ste 2, Brooklyn, NY 11217-4383 2019-11-01
1871058990 Freedom Physical Therapy, P.C. Clinic/Center 350 91st St Ste 1a, Brooklyn, NY 11209-5853 2019-02-02
1629564950 Brownsville Chiropractic, PC Clinic/Center 409 Rockaway Ave Fl 2, Brooklyn, NY 11212-5635 2018-07-10
1144768458 New Solution Home Care Inc Clinic/Center 722 E 4th St, Brooklyn, NY 11218-5704 2017-02-07
1619412988 Jpc Medical PC Clinic/Center 1552 Ralph Ave, Brooklyn, NY 11236-3129 2016-12-22
1245695030 Wyckoff Heights Dental Services, PC Clinic/Center Wyckoff Pediatric Care Center - 1411 Myrtle Avenue, Wyckoff Heights Dental Services, PC, Brooklyn, NY 11237 2015-12-21
1205201837 Wyckoff Professional Medical Services PC Clinic/Center 1419 Myrtle Ave, Wyckoff Doctors, Brooklyn, NY 11237-4512 2015-12-08
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Competitor

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City BROOKLYN
Zip Code 11212

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Dataset Information

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.

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