WYCKOFF HEIGHTS MEDICAL CENTER (NPI# 1477115251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477115251 |
| Entity Type | Organization |
| Organization Name | WYCKOFF HEIGHTS MEDICAL CENTER |
| Practice Address |
374 Stockholm St Brooklyn NY 11237-4006 |
| Mailing Address |
559 Fox St Bronx NY 10455-3527 |
| Practice Telephone | 7189637272 |
| Mailing Telephone | 3473017398 |
| Enumeration Date | 2019-07-02 |
| Last Update Date | 2019-07-02 |
| Authorized Official Name | JOLANTA SIKORSKA (ASSISTANT DIRECTOR, CREDENTIALS) |
| Authorized Official Telephone | 7189636466 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
Allopathic & Osteopathic Physicians |
| 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 |
| 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 |
| 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 |
374 STOCKHOLM ST |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11237-4006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700886322 | Wyckoff Heights Medical Center | General Acute Care Hospital | 374 Stockholm St, Brooklyn, NY 11237-4006 | 2005-07-26 |
| 1285233189 | Camille I Del Pilar Rodriguez | General Practice | 374 Stockholm St, Brooklyn, NY 11237-4006 | 2020-10-21 |
| 1972110096 | Wyckoff Heights Medical Center Laboratory Services | Clinical Medical Laboratory | 374 Stockholm St, Brooklyn, NY 11237-4006 | 2020-09-24 |
| 1134734130 | Andre Cosmo Ruela | General Practice | 374 Stockholm St, Brooklyn, NY 11237-4006 | 2020-09-15 |
| 1134732233 | Fehintola Orisamolu | Nurse Practitioner | 374 Stockholm St, Brooklyn, NY 11237-4006 | 2020-08-28 |
| 1548871189 | Leonidha Duka | Student in an Organized Health Care Education/Training Program | 374 Stockholm St, Brooklyn, NY 11237-4006 | 2020-08-16 |
| 1083225890 | Luis Carlos Moron Mercado | General Practice | 374 Stockholm St, Brooklyn, NY 11237-4006 | 2020-08-14 |
| 1891305207 | Oyinem Odumah | Student in an Organized Health Care Education/Training Program | 374 Stockholm St, Brooklyn, NY 11237-4006 | 2020-08-01 |
| 1609491646 | Bilyana Ristic | Dietitian, Registered | 374 Stockholm St, Brooklyn, NY 11237-4006 | 2020-06-16 |
| 1881219061 | Victoria Lewis | Student in an Organized Health Care Education/Training Program | 374 Stockholm St, Brooklyn, NY 11237-4006 | 2020-06-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194379644 | Giovanna Fiorella Ramirez Barbieri | Obstetrics & Gynecology | 374 Stockholm St, Brooklyn, Ny 11237, Brooklyn, NY 11237 | 2019-08-01 |
| 1013575554 | Miseon Kang | Counselor | Brooklyn Psychotherapy, 148 Wilson Ave, Brooklyn, NY 11237 | 2019-05-30 |
| 1023598943 | Kathryn Falk | Speech-Language Pathologist | Ps 376 C/o Kathryn Falk, 194 Harman Street, Brooklyn, NY 11237 | 2018-08-20 |
| 1437648870 | Dawn Tya Chapin | Student in an Organized Health Care Education/Training Program | Wyckoff Heights Medical Center, 374 Stockholm Street, Brooklyn, NY 11237 | 2018-05-01 |
| 1518410471 | Cameron Hetzler | Dentist | 374 Stockholm St., Brooklyn, NY 11237 | 2016-07-27 |
| 1215399043 | Rose R Capuz | Skilled Nursing Facility | 122 St Nicholas Avenue, Suite 2, Brooklyn, NY 11237 | 2016-03-22 |
| 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 |
| 1245615442 | Estefany Sanchez Mendez | Pediatrics | 374 Stockholm Street - Faculty Practice Dept, Wyckoff Professional and Medical Services, PC, Brooklyn, NY 11237 | 2015-07-29 |
| 1033507231 | Macarena Rufin | Counselor | 315 Wyckoff Ave., 6th Floor, Brooklyn, NY 11237 | 2014-12-23 |
| 1740691021 | Wyckoff Anesthesia and Medical Services, PC | Clinic/Center | 93-95 Wyckoff Ave, Wyckoff Anesthesia and Medical Services, PC, Brooklyn, NY 11237 | 2014-05-08 |
| Find all providers in zip 11237 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154316230 | Peter Eliot Gordon | Emergency Medicine | 218 Baltic St, Brooklyn, NY 11201-6620 | 2005-09-15 |
| 1831552405 | Wells Brambl | Emergency Medicine | 4802 10th Ave, Brooklyn, NY 11219-2916 | 2016-04-01 |
| 1992116701 | Ag Urgent Care, P.C. | Emergency Medicine | 1349 Broadway, 1st Floor, Brooklyn, NY 11221-3618 | 2014-05-14 |
| 1629323522 | D'artagnan Francois Hinds | Emergency Medicine | 506 6th St, Brooklyn, NY 11215-3609 | 2012-07-17 |
| 1093003501 | Samuel Ayala | Emergency Medicine | 506 6th St, Methodist Hospital Emergency Department, Brooklyn, NY 11215-3609 | 2011-07-18 |
| 1821314022 | Emergency Providers of Imc | Emergency Medicine | 1545 Atlantic Ave, Brooklyn, NY 11213-1122 | 2010-04-13 |
| 1386804318 | Markus Little | Emergency Medicine | 451 Clarkson Ave, Emergency Department, Brooklyn, NY 11203-2057 | 2008-06-12 |
| 1689871527 | Fiona Elise Barriac | Emergency Medicine | 4802 10th Ave, Brooklyn, NY 11219-2916 | 2007-07-02 |
| 1336344035 | Aisha Cupid | Emergency Medicine | 800 Poly Pl, Brooklyn, NY 11209-7104 | 2007-06-20 |
| 1669675070 | Bimc Faculty Practice | Emergency Medicine | 3201 Kings Hwy, Brooklyn, NY 11234-2625 | 2007-06-06 |
| Find all providers in BROOKLYN | ||||
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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.