THE BROOKDALE HOSPITAL MEDICAL CENTER (NPI# 1194053645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194053645 |
| Entity Type | Organization |
| Organization Name | THE BROOKDALE HOSPITAL MEDICAL CENTER |
| Other Organization Name | BROOKDALE HOSPITAL ORAL SURGEON |
| Practice Address |
1 Brookdale Plz Brooklyn NY 11212-3139 |
| Practice Telephone | 7182406281 |
| Practice Fax Number | 7182406682 |
| Mailing Telephone | 7182405741 |
| Mailing Fax Number | 7182406682 |
| Enumeration Date | 2009-11-20 |
| Last Update Date | 2020-05-24 |
| Authorized Official Name | ROBERT ALLEN PALERMO (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 7182405815 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS0112X |
Clinic/Center Specialization: Oral and Maxillofacial Surgery |
========= | NY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00243572 | 05 |
| Other Name | Type Code |
|---|---|
| Brookdale Hospital Oral Surgeon | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881030120 | The Brookdale Hospital Medical Center | General Acute Care Hospital | 1 Brookdale Plz, Brooklyn, NY 11212-3198 | 2013-05-14 |
| 1225304470 | The Brookdale Hospital Medical Center | General Acute Care Hospital | One Brookdale Plaza, Attn: Chuck Salvo, Brooklyn, NY 11212-3198 | 2012-03-31 |
| 1710272562 | The Brookdale Hospital Medical Center | General Acute Care Hospital | 1 Brookdale Plaza, Attn: Chuck Salvo, Brooklyn, NY 11212-3198 | 2011-06-09 |
| 1861687014 | The Brookdale Hospital Medical Center | Clinical Medical Laboratory | 1 Brookdale Plz, Brooklyn, NY 11212-3139 | 2007-09-11 |
| 1730383084 | The Brookdale Hospital Medical Center | General Acute Care Hospital | 1 Brookdale Plz, Brooklyn, NY 11212-3139 | 2007-06-12 |
| 1649474990 | The Brookdale Hospital Medical Center | General Acute Care Hospital | 1 Brookdale Plz, Brooklyn, NY 11212-3139 | 2007-06-12 |
| 1598773491 | The Brookdale Hospital Medical Center | Clinic/Center | 1 Brookdale Plz, 2chc, Brooklyn, NY 11212-3139 | 2006-08-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | THE BROOKDALE HOSPITAL MEDICAL CENTER | One Brookdale Plaza, Brooklyn, New York 11212 |
| Street Address |
1 BROOKDALE PLZ |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11212-3139 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265432868 | Steven Braha | Nuclear Medicine | 1 Brookdale Plz, Brooklyn, NY 11212-3139 | 2005-07-26 |
| 1902406234 | Christine Huynh | Student in an Organized Health Care Education/Training Program | 1 Brookdale Plz, Brooklyn, NY 11212-3139 | 2020-10-27 |
| 1043818784 | Kevin Courtney Kemp | Student in an Organized Health Care Education/Training Program | 1 Brookdale Plz, Brooklyn, NY 11212-3198 | 2020-10-14 |
| 1184221640 | Manjusha Kuraganti | Student in an Organized Health Care Education/Training Program | 1 Brookdale Plz, Brooklyn, NY 11212-3139 | 2020-10-07 |
| 1942807920 | Nancy Rizzuto | Nurse Practitioner | 1 Brookdale Plz, Brooklyn, NY 11212-3139 | 2020-10-03 |
| 1699372854 | Ann Andrasovich | Student in an Organized Health Care Education/Training Program | 1 Brookdale Plz, Brooklyn, NY 11212-3198 | 2020-10-01 |
| 1437766151 | Elena Dudorova | Student in an Organized Health Care Education/Training Program | 1 Brookdale Plz, Brooklyn, NY 11212-3139 | 2020-09-27 |
| 1972110757 | Pratichhya Khatiwada | Student in an Organized Health Care Education/Training Program | 1 Brookdale Plz, Brooklyn, NY 11212-3139 | 2020-09-25 |
| 1780290031 | Hajira Basit | Student in an Organized Health Care Education/Training Program | 1 Brookdale Plz, Brooklyn, NY 11212-3139 | 2020-09-22 |
| 1932715661 | Orzu Yuldasheva | Student in an Organized Health Care Education/Training Program | 1 Brookdale Plz, Brooklyn, NY 11212-3139 | 2020-09-17 |
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| 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 | 261QS0112X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790224756 | Avichai Stern Dds Pllc | Clinic/Center | 161 Havemeyer St, Suite 2, Brooklyn, NY 11211-5534 | 2017-02-22 |
| 1942669387 | Brooklyn Oral Surgery & Implant Center | Clinic/Center | 1512 Avenue Z, Brooklyn, NY 11235-3808 | 2016-02-13 |
| 1487969937 | Mikhail Ruvinsky Dds, PC | Clinic/Center | 2973 Ocean Ave, Brooklyn, NY 11235-3201 | 2010-08-09 |
| 1609025808 | Robert E. Zeitlin,d.d.s.,p.c. | Clinic/Center | 1603 Voorhies Ave, 1st Floor, Brooklyn, NY 11235-3959 | 2008-09-11 |
| 1003089715 | Marc B. Hertz, Dds, PC | Clinic/Center | 2026 Ocean Ave, Suite 1k, Brooklyn, NY 11230-7352 | 2008-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124659479 | Sioms Forest Hills Management LLC | Clinic/Center | 7009 Austin St Ste 201, Forest Hills, NY 11375-1012 | 2020-01-27 |
| 1992205801 | Seth T Farren Dds Oral and Maxillofacial Surgery Pllc | Clinic/Center | 100 Great Oaks Blvd Ste 112, Albany, NY 12203-7924 | 2018-02-16 |
| 1699055285 | Advanced Implant and Oral Surgery P.C. | Clinic/Center | 17 Walt Whitman Rd Ste 3, Huntington Station, NY 11746-3610 | 2011-08-26 |
| 1962622332 | Greg J Panossian Dds Pllc | Clinic/Center | 5240 Merrick Rd Ste 1, Massapequa, NY 11758-6207 | 2007-04-26 |
| 1093807166 | Todd J Berman Dmd, PC | Clinic/Center | 307 E 49th St, New York, NY 10017-7306 | 2006-09-28 |
| 1740781665 | Giovanni Boiano Dds PC | Clinic/Center | 300 Main St, Eastchester, NY 10709-2916 | 2018-02-26 |
| 1386172104 | Lynn Pierri Dds Ms Pllc | Clinic/Center | 400 Townline Rd Ste 135, Hauppauge, NY 11788-2835 | 2017-05-24 |
| 1073059283 | Yandresco Quintana Dds PC | Clinic/Center | 651 W 180th St, Suite 1, New York, NY 10033-4802 | 2017-01-11 |
| 1881146785 | Dd Pitcher LLC | Clinic/Center | 30 Office Park Way, Pittsford, NY 14534-1734 | 2016-10-27 |
| 1366803215 | New York University | Clinic/Center | 345 E 24th St, New York, NY 10010-4020 | 2016-03-18 |
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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.