ELLIOT S BRUKMAN (NPI# 1639723976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639723976 |
| Entity Type | Individual |
| Full Name | ELLIOT S BRUKMAN |
| Practice Address |
6023 Fort Hamilton Pkwy Brooklyn NY 11219-4814 |
| Practice Telephone | 7183820045 |
| Practice Fax Number | 7183820051 |
| Mailing Telephone | 7183820045 |
| Mailing Fax Number | 7183820051 |
| Enumeration Date | 2019-07-25 |
| Last Update Date | 2019-07-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
6023 FORT HAMILTON PKWY |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11219-4814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235550997 | Steven Wesson | Social Worker | 6023 Fort Hamilton Pkwy, Brooklyn, NY 11219 | 2013-12-26 |
| 1891326278 | Linda Tubis | Counselor | 6023 Fort Hamilton Pkwy, Brooklyn, NY 11219-4814 | 2020-02-04 |
| 1972150498 | Kerry-ann Lee | Social Worker | 6023 Fort Hamilton Pkwy, Brooklyn, NY 11219-4814 | 2019-08-20 |
| 1750936407 | Yosef Chesny | Social Worker | 6023 Fort Hamilton Pkwy, Brooklyn, NY 11219-4814 | 2019-08-08 |
| 1477110625 | Chaya Fruchthandler | Social Worker | 6023 Fort Hamilton Pkwy, Brooklyn, NY 11219-4814 | 2019-05-23 |
| 1821655093 | Jialing Liao | Recreation Therapist | 6023 Fort Hamilton Pkwy, Brooklyn, NY 11219-4814 | 2019-05-23 |
| 1225695471 | Margaret Nelson | Social Worker | 6023 Fort Hamilton Pkwy, Brooklyn, NY 11219-4814 | 2019-05-23 |
| 1851958326 | Marc Rosenfeld | Counselor | 6023 Fort Hamilton Pkwy, Brooklyn, NY 11219-4814 | 2019-05-21 |
| 1588229157 | Yael Gichtin | Counselor | 6023 Fort Hamilton Pkwy, Brooklyn, NY 11219-4814 | 2019-05-08 |
| 1841769965 | Yitzchok D. Wagshul | Psychologist | 6023 Fort Hamilton Pkwy, Brooklyn, NY 11219-4814 | 2018-11-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073127163 | Chava Bokchin | Registered Nurse | 6200 15th Avenue, Brooklyn, NY 11219 | 2020-09-04 |
| 1164033643 | Debbie Evadne Evans-wright | Nurse Practitioner | 979 48th Street, Brooklyn, NY 11219 | 2020-08-10 |
| 1528614559 | Jonathan Benjamin Goldstein | Specialist | Yeled Vyalda 1312 38 Street, Brooklyn, NY 11219 | 2019-08-15 |
| 1235782301 | Vanessa Walton | Social Worker | 4012 New Utrecht Avenue, Apt 1, Brooklyn, NY 11219 | 2019-07-18 |
| 1083184618 | Sandra Murray | Licensed Practical Nurse | 6321 New Utrecht Avenue Second Floor, Brooklyn, NY 11219 | 2018-11-27 |
| 1023588746 | Wanipa Muwowo-nwade | Physician Assistant | 4802 10th Ave Rm 301, Brooklyn, NY 11219 | 2018-11-26 |
| 1366919896 | Evelin Ponce | Licensed Practical Nurse | 6321 New Utrecht Avenue, Second Floor, Brooklyn, NY 11219 | 2018-11-02 |
| 1083180301 | Yefim Simkhayev | Occupational Therapist | 1317 52nd St, Brooklyn, NY 11219 | 2018-10-15 |
| 1598240186 | F & D Pharmacy Inc | Pharmacy | 5504 -13 Ave, Brooklyn, NY 11219 | 2018-09-28 |
| 1245737469 | Yekaterina Joltikov | Student in an Organized Health Care Education/Training Program | Miamonides Medical Center, 4802 10th Ave, Brooklyn, NY 11219 | 2018-04-13 |
| Find all providers in zip 11219 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669099826 | Moseka Turkessa James | Peer Specialist | 1220 Remsen Ave # 1, Brooklyn, NY 11236-3925 | 2020-07-02 |
| 1225659923 | Renee S Peterkin | Peer Specialist | 1016 Ralph Ave, Brooklyn, NY 11236-1258 | 2020-05-04 |
| 1639704984 | Henry Smith | Peer Specialist | 236 Fountain Ave, Brooklyn, NY 11208-2516 | 2020-03-06 |
| 1811530595 | Shernold Michaud | Peer Specialist | 195 Montague Steet, Condo Unit K, 8th Floor, Brooklyn, NY 11201-3628 | 2019-10-24 |
| 1316592066 | Felix Alexander Barbour | Peer Specialist | 25 Flatbush Ave Ste 3, Brooklyn, NY 11217-2499 | 2019-08-08 |
| 1386019321 | Marta Josephine Jablonka I | Peer Specialist | 137 Dewitt Ave, Brooklyn, NY 11207 | 2015-12-02 |
| 1093186199 | Isaac Trieger | Peer Specialist | 1118 45th St Apt 1r, Brooklyn, NY 11219-2192 | 2015-10-14 |
| 1447859574 | Lynnedell Felinor | Peer Specialist | 2037 Utica Ave Ste 2, Brooklyn, NY 11234-3234 | 2020-10-20 |
| 1336746098 | Yeimi Felix | Peer Specialist | 1623 Kings Hwy, Brooklyn, NY 11229-1209 | 2020-10-06 |
| 1366057507 | Sean Alexander | Peer Specialist | 25 Flatbush Ave Ste 3, Brooklyn, NY 11217-2499 | 2020-09-14 |
| 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.