KINGS COUNTY HOSPITAL CENTER (NPI# 1578640520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578640520 |
| Entity Type | Organization |
| Organization Name | KINGS COUNTY HOSPITAL CENTER |
| Other Organization Name | NICOLA MERTSARIS MEDICAL DOCTOR |
| Practice Address |
4016 31st Ave Astoria NY 11103-3400 |
| Practice Telephone | 7186267029 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2008-12-11 |
| Authorized Official Name | DR. NICOLA MERTSARIS (PHYSICIAN) |
| Authorized Official Telephone | 7186267029 |
| Authorized Official Credential | M.D., |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
133950 | NY | Hospitals |
| Other Name | Type Code |
|---|---|
| Nicola Mertsaris Medical Doctor | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235424615 | Kings County Hospital Center | General Acute Care Hospital | 1216 E 101st St, Brooklyn, NY 11236-5033 | 2011-06-14 |
| 1740366806 | Kings County Hospital Center | Rehabilitation, Substance Use Disorder Unit | 21-49-46 Street, Astoria, NY 11105 | 2006-10-31 |
| 1992772560 | Kings County Hospital Center | Medicare Defined Swing Bed Unit | 1828 E 52nd St, Brooklyn, NY 11234-3814 | 2006-03-02 |
| 1295362218 | Kings County Hospital Center | Internal Medicine | 451 Clarkson Ave, Brooklyn, NY 11203-2054 | 2020-03-27 |
| 1154872547 | Kings County Hospital Center | General Acute Care Hospital | 451 Clarkson Ave, Brooklyn, NY 11203-2054 | 2016-10-20 |
| 1275921413 | Kings County Hospital Center | General Acute Care Hospital | 451 Clarkson Ave, Brooklyn, NY 11203-2054 | 2014-12-22 |
| 1457791535 | Kings County Hospital Center | General Acute Care Hospital | 451 Clarkson Ave, Brooklyn, NY 11203-2054 | 2013-07-03 |
| 1851506026 | Kings County Hospital Center | Psychiatric Hospital | 606 Winthrop Street, Brooklyn, NY 11203-1704 | 2007-05-11 |
| 1033298351 | Kings County Hospital Center | General Acute Care Hospital | 451 Clarkson Ave, Brooklyn, NY 11203-2057 | 2006-11-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | KINGS COUNTY HOSPITAL CENTER | 451 Clarkson Ave, Brooklyn, NY 11203-2054 |
| Street Address |
4016 31ST AVE |
| City | ASTORIA |
| State | NY |
| Zip Code | 11103-3400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285248641 | Heather B Keltai | Counselor | 2585 48th St, Astoria, NY 11103 | 2020-09-03 |
| 1174132641 | Mohammed E Yousef | Physical Therapy Assistant | 37 09 Broadway,astoria., Apt 3a, New York, NY 11103 | 2020-07-30 |
| 1588177448 | Jasna Koltovska | Counselor | 3063 38th St Ste B1, Astoria, NY 11103 | 2017-11-14 |
| 1205363884 | Emanuel Papadopoulos | Dentist | 3044 36th St, Astoria, NY 11103 | 2017-05-15 |
| 1174986236 | Joyce Lynn Karpinski | Occupational Therapist | 25-95 45th St, Apt I, Astoria, NY 11103 | 2016-04-05 |
| 1306218847 | Leeat Perelmutter | Social Worker | 2847 34 Street, Apt 17, Astoria, NY 11103 | 2015-10-23 |
| 1740658723 | Cori Shahon | Specialist | 2569 49th Street, Astoria, NY 11103 | 2015-09-09 |
| 1245617539 | Alisa Neziraj | Registered Nurse | 3005 42nd Street, Astoria, NY 11103 | 2015-05-06 |
| 1912399189 | Brad Koegel | Case Manager/Care Coordinator | 30-46 35th Street, Astoria, NY 11103 | 2015-02-25 |
| 1477967826 | Wad Kadi | Pharmacist | 32-87 Steinway St, Long Island City, NY 11103 | 2014-06-13 |
| Find all providers in zip 11103 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700809761 | Columbia Lutheran Charities | General Acute Care Hospital | 550 22nd St, Astoria, OR 97103-3312 | 2006-07-25 |
| 1679740583 | Columbia Lutheran Charities | General Acute Care Hospital | 2265 Exchange St, Astoria, OR 97103 | 2008-05-09 |
| 1134146939 | Columbia Lutheran Charities | General Acute Care Hospital | 2111 Exchange St, Astoria, OR 97103-3329 | 2006-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740658277 | Saint Barnabas Health System | General Acute Care Hospital | 2132 Wallace Ave, Apt-242, Bronx, NY 10462-2573 | 2015-09-15 |
| 1124412101 | Matthew Scott Stephany | General Acute Care Hospital | 356 Brush Creek Dr, Rochester, NY 14612-2270 | 2015-03-26 |
| 1235522764 | Lei Meng | General Acute Care Hospital | 39 Claremont Ave, Apt 82, New York, NY 10027 | 2015-03-09 |
| 1225437650 | 37th Ave Pharmacy Inc | General Acute Care Hospital | 9507 37th Ave, Jackson Heights, NY 11372-8024 | 2014-08-21 |
| 1326454372 | Liza John | General Acute Care Hospital | 97 Beaumont Cir, Apt-1, Yonkers, NY 10710-2032 | 2014-07-09 |
| 1699106187 | Nslij | General Acute Care Hospital | 1999 Marcus Ave Ste 106c, New Hyde Park, NY 11042-1028 | 2013-12-09 |
| 1588005466 | Newyork Presbyterian Hospital | General Acute Care Hospital | 109 Alpine Rd, Yonkers, NY 10710-2022 | 2013-07-08 |
| 1548601578 | New York Community Hospital, Brooklyn | General Acute Care Hospital | 8922 133rd St, 2nd Floor, Richmond Hill, NY 11418-2813 | 2013-07-06 |
| 1144565177 | Suny Downstate Medical Center | General Acute Care Hospital | 2 Fuschetto Ct, Farmingdale, NY 11735-4262 | 2012-12-03 |
| 1417205931 | Harlem Hospital | General Acute Care Hospital | 506 Lenox Avenue, 14th Floor, Room 106, New York, NY 10037 | 2012-08-15 |
| Find all providers with the same taxonomy | ||||
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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.