SUNY DOWNSTATE MEDICAL CENTER (NPI# 1699704155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699704155 |
| Entity Type | Organization |
| Organization Name | SUNY DOWNSTATE MEDICAL CENTER |
| Practice Address |
445 Lenox Rd Brooklyn NY 11203-2017 |
| Practice Telephone | 7182701000 |
| Mailing Telephone | 7182701000 |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2013-04-04 |
| Authorized Official Name | MARILYN VIENTOS-SOTIRIADIS (COO) |
| Authorized Official Telephone | 7182702025 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
Allopathic & Osteopathic Physicians | ||
| N | 207PP0204X |
Emergency Medicine Specialization: Pediatric Emergency Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02160589 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144565177 | Suny Downstate Medical Center | General Acute Care Hospital | 2 Fuschetto Ct, Farmingdale, NY 11735-4262 | 2012-12-03 |
| 1407110760 | Suny Downstate Medical Center | General Acute Care Hospital | 89 Joseph Ave, Staten Island, NY 10314-5054 | 2012-07-01 |
| 1376820100 | Suny Downstate Medical Center | General Acute Care Hospital | 450 Clarkson Ave # 1257, Brooklyn, NY 11203-2012 | 2011-11-08 |
| 1346520350 | Suny Downstate Medical Center | General Acute Care Hospital | 264 72nd St Apt 1b, Brooklyn, NY 11209-2151 | 2011-08-22 |
| 1710201512 | Suny Downstate Medical Center | General Acute Care Hospital | 450 Clarkson Ave Ste D, Brooklyn, NY 11203-2012 | 2010-03-23 |
| 1104065689 | Suny Downstate Medical Center | General Acute Care Hospital | 1486 Dunbar Street, Farrockaway, NY 11691 | 2009-02-06 |
| 1033320601 | Suny Downstate Medical Center | General Acute Care Hospital | 450 Clarkson Ave # 1189, Brooklyn, NY 11203-2056 | 2007-05-25 |
| 1124492285 | Suny Downstate Medical Center | General Acute Care Hospital | 450 Clarkson Ave, Box 50, Brooklyn, NY 11203-2012 | 2015-11-30 |
| 1114317849 | Suny Downstate Medical Center | Chronic Disease Hospital | 450 Clarkson Ave, Brooklyn, NY 11203-2012 | 2015-02-03 |
| 1538591862 | Suny Downstate Medical Center | General Acute Care Hospital | 450 Clarkson Ave, Brooklyn, NY 11203-2012 | 2013-08-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SUNY DOWNSTATE MEDICAL CENTER | 450 Clarkson Ave, Brooklyn, NY 11203-2012 |
| Street Address |
445 LENOX RD |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11203-2017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326041641 | Gobind B Laungani | Urology | 445 Lenox Rd, Brooklyn, NY 11203-2017 | 2005-05-31 |
| 1710599766 | Heba Abdelnabi | Dietitian, Registered | 445 Lenox Rd, Brooklyn, NY 11203-2017 | 2020-08-20 |
| 1245606805 | Kerri Bally | Student in an Organized Health Care Education/Training Program | 445 Lenox Rd, Brooklyn, NY 11203-2017 | 2015-08-18 |
| 1811363443 | Mahammad Ali | Pharmacist | 445 Lenox Rd, Brooklyn, NY 11203-2017 | 2015-08-18 |
| 1043690464 | Anastasiya Goldin | Audiologist | 445 Lenox Rd, Suite J, Brooklyn, NY 11203-2017 | 2015-06-01 |
| 1982009882 | Christina Guerra | Pharmacist | 445 Lenox Rd, Msc #36, Brooklyn, NY 11203-2017 | 2014-11-04 |
| 1578982385 | Grace Theresa Hansen | Physical Therapist | 445 Lenox Rd, Brooklyn N.y., Brooklyn, NY 11203-2017 | 2014-04-08 |
| 1700122017 | John Weigand Audiology PC | Clinic/Center | 445 Lenox Rd, Suite J Box 1283, Brooklyn, NY 11203-2017 | 2012-12-14 |
| 1689923518 | Suny Downstate Medical Center | General Acute Care Hospital | 445 Lenox Rd, Brooklyn, NY 11203 | 2012-09-06 |
| 1407119613 | Khalika Raja | Student in an Organized Health Care Education/Training Program | 445 Lenox Rd, Box 49, Brooklyn, NY 11203-2017 | 2012-06-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023615747 | Winnie Ming Wong | Dance Therapist | 451 Clarkson Ave R Building, Idd/mh Unit, R5west, Brooklyn, NY 11203 | 2020-10-06 |
| 1174134803 | Jermiah Jonoah Jones | Social Worker | 307 E 54th St, 3, Brooklyn, NY 11203 | 2020-08-14 |
| 1780201566 | Jesvin Jeyapaulraj | Student in an Organized Health Care Education/Training Program | 450 Clarkson Avenue, Suny Downstate, General Surgery Department, Brooklyn, NY 11203 | 2020-06-29 |
| 1881219731 | Natasha Thomas | Specialist | 140 East 52nd St Brooklyn, Apt 1r, Brooklyn, NY 11203 | 2020-06-16 |
| 1679197396 | Syed Hamza Bin Waqar | Student in an Organized Health Care Education/Training Program | 450 Clarkson Avenue, Msc 50, Suny Downstate, Brooklyn, NY 11203 | 2020-05-29 |
| 1013536846 | Isaak Rubinov | Student in an Organized Health Care Education/Training Program | 91 E 39th St, Brooklyn, NY 11203 | 2020-04-12 |
| 1932733615 | Shade Celestine | Specialist | 293 East53rd Street, Brooklyn, NY 11203 | 2020-03-03 |
| 1023656147 | Shenez Brutus | Nurse Practitioner | Suny Downstate College of Nursing, 450 Clarkson Avenue, Brooklyn, NY 11203 | 2019-12-19 |
| 1215586425 | Terry-ann Lee | Registered Nurse | 440 East 45th Street, Kings, NY 11203 | 2019-09-10 |
| 1568023828 | Mmeyeneabasi David Omede | Student in an Organized Health Care Education/Training Program | 450 Clarkson Avenue, Suny Downstate Medical Center, Brooklyn, NY 11203 | 2019-06-26 |
| Find all providers in zip 11203 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487273777 | Rosheen Teresa Mcelroy | Emergency Medicine | 70 Remsen St # 2ab, Brooklyn, NY 11201-3432 | 2020-04-16 |
| 1225501448 | Friendly Urgent Care of Ny Pllc | Emergency Medicine | 1675 59th St, Brooklyn, NY 11204-2130 | 2019-01-10 |
| 1205350485 | Annada K Das M D P C | Emergency Medicine | 2949 Brighton 4th St, Brooklyn, NY 11235-8511 | 2017-07-31 |
| 1134576259 | Eric Roseman | Emergency Medicine | 450 Clarkson Ave, Box 51, Brooklyn, NY 11203-2012 | 2016-05-18 |
| 1376998336 | Neeraj Satyaprakash Chimanji | Emergency Medicine | 273 Leonard St, Apt 1b, Brooklyn, NY 11211-3604 | 2016-04-27 |
| 1043672272 | Gordon Chien | Emergency Medicine | 4821 Fort Hamilton Pkwy, Brooklyn, NY 11219-2937 | 2016-03-26 |
| 1932586021 | Angela S Chen | Emergency Medicine | 90 Pierrepont St, 3a, Brooklyn, NY 11201-2754 | 2015-04-28 |
| 1073990214 | Bojen Roger Chiou | Emergency Medicine | 1133 Manhattan Ave, Apt N532, Brooklyn, NY 11222-1031 | 2015-04-27 |
| 1255735221 | Mark Kreimer | Emergency Medicine | Nyp: Brooklyn Methodist Hospital Department of Em, 506 6th Street, Brooklyn, NY 11215 | 2014-10-20 |
| 1487053336 | Arsalan Azam | Emergency Medicine | 421 Pulaski St, Unit 1, Brooklyn, NY 11221-2310 | 2014-08-16 |
| 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.