BROOKLYN PLAZA MEDICAL CENTER, INC (NPI# 1619366978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619366978 |
| Entity Type | Organization |
| Organization Name | BROOKLYN PLAZA MEDICAL CENTER, INC |
| Other Organization Name | WHITMAN INGERSOLL FARRAGUT HEALTH CENTER |
| Practice Address |
297 Myrtle Ave Brooklyn NY 11205-2901 |
| Mailing Address |
650 Fulton St Brooklyn NY 11217-1517 |
| Practice Telephone | 7185968000 |
| Practice Fax Number | 7185968935 |
| Mailing Telephone | 7185969800 |
| Mailing Fax Number | 7185969889 |
| Enumeration Date | 2015-01-09 |
| Last Update Date | 2015-01-09 |
| Authorized Official Name | LAZETTA DUNCAN-MOORE (CEO) |
| Authorized Official Telephone | 7185969800 |
| Is Organization Subpart | Y |
| Parent Organization Name | BROOKLYN PLAZA MEDICAL CENTER, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
7001250R | NY | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Whitman Ingersoll Farragut Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366830242 | Brooklyn Plaza Medical Center, Inc | Social Worker | 650 Fulton St, Brooklyn, NY 11217-1517 | 2014-12-31 |
| Street Address |
297 MYRTLE AVE |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11205-2901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922517176 | Hind Ibrahim | Speech-Language Pathologist | 195 Sanford Street, Brooklyn, NY 11205 | 2017-09-20 |
| 1710402573 | Pierrette Augustin | Registered Nurse | 84 Carlton Ave, Apt. 5a, Brooklyn, NY 11205 | 2017-08-13 |
| 1104368422 | Damali Robinson | Speech-Language Pathologist | 195 Willoughby Avenue, Apartment 609, Brooklyn, NY 11205 | 2016-11-17 |
| 1316304413 | Kyung Han | Case Manager/Care Coordinator | 950 Kent Avenue, 3f, Brooklyn, NY 11205 | 2016-01-20 |
| 1285039081 | Shani Jordan-goldman | Dietitian, Registered | 80 Vanderbilt Ave, Brooklyn, NY 11205 | 2014-10-23 |
| 1205274719 | Kaitlyn M Rindos | Speech-Language Pathologist | 805 Kent Avenue, Suite 101, Brooklyn, NY 11205 | 2013-06-06 |
| 1386985323 | Rose Marie Demosthene | Registered Nurse | Cumberland D&tc, 100 North Portland Avenue, Brooklyn, NY 11205 | 2013-03-14 |
| 1780940627 | Michele Goldman | Registered Nurse | 195 Sandford Street, Brooklyn, NY 11205 | 2012-04-04 |
| 1629202312 | Safeway Medical Supplies | Durable Medical Equipment & Medical Supplies | 196 Clinton Ave, Suite C25, Brooklyn, NY 11205 | 2009-05-08 |
| 1811136286 | Susan Jarrell | Acupuncturist | 208 Washington Park Apt 1b, Brooklyn, NY 11205 | 2009-02-09 |
| Find all providers in zip 11205 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1407363559 | Southeast Mississippi Rural Health Initiative, Inc. | Clinic/Center | 215 Old Highway 49 E, Brooklyn, MS 39425-9028 | 2018-01-10 |
| 1568910545 | Oda Primary Health Care Network, Inc. | Clinic/Center | 329 Hewes St, Brooklyn, NY 11211-7474 | 2016-09-19 |
| 1104274745 | Premium Health, Inc. | Clinic/Center | 5506 15th Ave, Brooklyn, NY 11219-4301 | 2016-05-24 |
| 1477909349 | Damian Family Care Centers, Inc. | Clinic/Center | 599 Ralph Ave, Brooklyn, NY 11233 | 2016-05-10 |
| 1730592403 | The Floating Hospital Inc. | Clinic/Center | 515 Blake Ave, Brooklyn, NY 11207-4502 | 2014-06-10 |
| 1275946550 | The Floating Hospital Inc. | Clinic/Center | 10875 Avenue D, Brooklyn, NY 11236-1931 | 2014-06-04 |
| 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.