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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | LICENSE NUMBER | RO40749-1 | 01 |
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 |
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 |
545 CHRISTOPHER AVE |
City | BROOKLYN |
State | NY |
Zip Code | 11212-7029 |
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 |
Find all providers in zip 11212 |
Taxonomy Code | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
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). |
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 |
Find all providers in BROOKLYN |
Please comment or provide details below to improve the information on WYCKOFF HEIGHTS 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.