KINGSBROOK JEWISH MEDICAL CENTER (NPI# 1669613105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669613105 |
| Entity Type | Organization |
| Organization Name | KINGSBROOK JEWISH MEDICAL CENTER |
| Practice Address |
1404 Savoy Ct Colleyville TX 76034-6267 |
| Practice Telephone | 6823653371 |
| Mailing Telephone | 6823653371 |
| Enumeration Date | 2009-03-12 |
| Last Update Date | 2009-03-12 |
| Authorized Official Name | DR. YUE-QING TAN (RESIDENT) |
| Authorized Official Telephone | 6823653371 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104127224 | Kingsbrook Jewish Medical Center | Early Intervention Provider Agency | 1820 E 19th St Apt 1fl, Brooklyn, NY 11229-3559 | 2010-11-04 |
| 1841724713 | Kingsbrook Jewish Medical Center | General Acute Care Hospital | 421 Pulaski St, Apt. 1, Brooklyn, NY 11221-2310 | 2017-04-17 |
| 1851702815 | Kingsbrook Jewish Medical Center | General Acute Care Hospital | 585 Schenectady Ave, Brooklyn, NY 11203-1851 | 2014-05-13 |
| 1558630426 | Kingsbrook Jewish Medical Center | Clinic/Center | 585 Schenectady Ave, Brooklyn, NY 11203-1851 | 2011-12-22 |
| 1801031919 | Kingsbrook Jewish Medical Center | Physical Medicine & Rehabilitation | 585 Schenectady Ave, Brooklyn, NY 11203-1809 | 2008-12-04 |
| 1609022656 | Kingsbrook Jewish Medical Center | Internal Medicine | 585 Schenectady Ave, Brooklyn, NY 11203-1891 | 2008-08-11 |
| 1477716017 | Kingsbrook Jewish Medical Center | General Acute Care Hospital | 585 Schenectady Ave, Brooklyn, NY 11203-1809 | 2008-07-03 |
| 1013176700 | Kingsbrook Jewish Medical Center | Clinic/Center | 585 Schenectady Ave, Managed Care Dept, Brooklyn, NY 11203-1809 | 2008-06-06 |
| 1689849952 | Kingsbrook Jewish Medical Center | Clinic/Center | 585 Schenectady Ave, Brooklyn, NY 11203-1851 | 2008-04-28 |
| 1841465218 | Kingsbrook Jewish Medical Center | Rehabilitation Unit | 585 Schenectady Ave, Brooklyn, NY 11203-1851 | 2008-04-28 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | KINGSBROOK JEWISH MEDICAL CENTER | 585 Schenectady Ave, Brooklyn, NY 11203-1822 |
| New York State Corporations | KINGSBROOK JEWISH MEDICAL CENTER | 585 Schenectady Avenue, Brooklyn, New York 11203 |
| Street Address |
1404 SAVOY CT |
| City | COLLEYVILLE |
| State | TX |
| Zip Code | 76034-6267 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457967283 | Lumi Eye Care | Optometrist | 3855 Glade Road, Colleyville, TX 76034 | 2020-09-17 |
| 1528552718 | Dental Sc, Pllc | Dentist | 6700 Colleyville Blvd, Colleyville, TX 76034 | 2018-06-20 |
| 1447763503 | Pekam Takusi | Pharmacist | 704 Strauss, Colleyville, TX 76034 | 2017-11-13 |
| 1982128484 | Van Beljon LLC | Chiropractor | 1124 Glade Rd, Suite 140, Colleyville, TX 76034 | 2017-07-27 |
| 1871031120 | Gena Willams | Occupational Therapist | 4113 Gateway Dr #200, Colleyville, TX 76034 | 2017-02-07 |
| 1700255486 | Village Lane Apothecary | Pharmacy | 60 Village Ln, Suite 130, Colleyville, TX 76034 | 2015-09-23 |
| 1679968333 | Amber Robinson | Counselor | 5209 Heritage Ave #210, Colleyville, TX 76034 | 2015-03-31 |
| 1013305978 | Stat Sleep of Colleyville, LLP | Clinic/Center | 6407 Colleyville Blvd Ste B, Colleyville, TX 76034 | 2014-12-30 |
| 1528468717 | Colverse Iom LLC | Neurological Surgery | 1308 Somerset Ct, Colleyville, TX 76034 | 2014-08-26 |
| 1356752703 | Ideal Dental of Colleyville, Pllc | Dentist | 4712 Colleyville Blvd, Suite 110, Colleyville, TX 76034 | 2014-05-19 |
| Find all providers in zip 76034 | ||||
| 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 |
|---|---|---|---|---|
| 1629514203 | Tmc Bonham Hospital | General Acute Care Hospital | 504 Lispcomb Blvd, Bonham, TX 75418 | 2017-01-06 |
| 1164772216 | Methodist West Houston Hospital | General Acute Care Hospital | 5807 Grand Saline Dr, Richmond, TX 77469-6173 | 2012-09-17 |
| 1528367356 | Liberty County Hospital District No 1 | General Acute Care Hospital | 1353 N Travis, Liberty, TX 77575-3549 | 2011-03-18 |
| 1578724811 | Vaishali Kawaduji Bhusari | General Acute Care Hospital | 4555 Lorraine Ave, Dallas, TX 75205-3612 | 2008-06-19 |
| 1548457682 | Audie Murphy Va Hospital | General Acute Care Hospital | 4041 Merton Minter, San Antonio, TX 78229 | 2007-10-03 |
| 1033309323 | George Daniel Williamson | General Acute Care Hospital | 5087 E State Highway 22, Hamilton, TX 76531-1355 | 2007-08-01 |
| 1396861324 | Dr. Carlos F. Morales Md. | General Acute Care Hospital | 4414 Centerview Dr., Ste 168, San Antonio, TX 78228-1404 | 2007-03-21 |
| 1780786699 | Palacios Community Medical Center | General Acute Care Hospital | 311 Green Ave, Palacios, TX 77465-3213 | 2006-09-01 |
| 1033229778 | Va Hospital | General Acute Care Hospital | 8222 Lone Bridge Ln, Humble, TX 77338-1726 | 2006-08-30 |
| 1720096019 | County of Ward | General Acute Care Hospital | 406 S Gary St, Monahans, TX 79756-4799 | 2006-08-03 |
| Find all providers with the same taxonomy | ||||
| City | COLLEYVILLE |
| Zip Code | 76034 |
Please comment or provide details below to improve the information on KINGSBROOK JEWISH MEDICAL CENTER.
| 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.