BROOKDALE UNIVERSITY HOSPITAL (NPI# 1750610697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750610697 |
| Entity Type | Organization |
| Organization Name | BROOKDALE UNIVERSITY HOSPITAL |
| Practice Address |
1 Brookdale Plz Brooklyn NY 11212-3139 |
| Mailing Address |
11924 147th St South Ozone Park NY 11436-1528 |
| Practice Telephone | 7182405000 |
| Practice Fax Number | 7182405000 |
| Mailing Telephone | 7186594340 |
| Mailing Fax Number | 7186594340 |
| Enumeration Date | 2009-12-23 |
| Last Update Date | 2009-12-23 |
| Authorized Official Name | MS. YVONE SPENCE (MANAGER) |
| Authorized Official Telephone | 7182405000 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | NY | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | US FAMILY HEALTH PLAN | 1070313819 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982861605 | Brookdale University Hospital | General Acute Care Hospital | 16410 84th Ave Apt 4k, Jamaica, NY 11432-1803 | 2008-05-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | BROOKDALE UNIVERSITY HOSPITAL AND MEDICAL CENTER | 1 Brookdale Plaza, Brooklyn, NY 11212-3139 |
| Street Address |
1 BROOKDALE PLZ |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11212-3139 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265432868 | Steven Braha | Nuclear Medicine | 1 Brookdale Plz, Brooklyn, NY 11212-3139 | 2005-07-26 |
| 1902406234 | Christine Huynh | Student in an Organized Health Care Education/Training Program | 1 Brookdale Plz, Brooklyn, NY 11212-3139 | 2020-10-27 |
| 1043818784 | Kevin Courtney Kemp | Student in an Organized Health Care Education/Training Program | 1 Brookdale Plz, Brooklyn, NY 11212-3198 | 2020-10-14 |
| 1184221640 | Manjusha Kuraganti | Student in an Organized Health Care Education/Training Program | 1 Brookdale Plz, Brooklyn, NY 11212-3139 | 2020-10-07 |
| 1942807920 | Nancy Rizzuto | Nurse Practitioner | 1 Brookdale Plz, Brooklyn, NY 11212-3139 | 2020-10-03 |
| 1699372854 | Ann Andrasovich | Student in an Organized Health Care Education/Training Program | 1 Brookdale Plz, Brooklyn, NY 11212-3198 | 2020-10-01 |
| 1437766151 | Elena Dudorova | Student in an Organized Health Care Education/Training Program | 1 Brookdale Plz, Brooklyn, NY 11212-3139 | 2020-09-27 |
| 1972110757 | Pratichhya Khatiwada | Student in an Organized Health Care Education/Training Program | 1 Brookdale Plz, Brooklyn, NY 11212-3139 | 2020-09-25 |
| 1780290031 | Hajira Basit | Student in an Organized Health Care Education/Training Program | 1 Brookdale Plz, Brooklyn, NY 11212-3139 | 2020-09-22 |
| 1932715661 | Orzu Yuldasheva | Student in an Organized Health Care Education/Training Program | 1 Brookdale Plz, Brooklyn, NY 11212-3139 | 2020-09-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396365136 | Ama Asabea Asare | Student in an Organized Health Care Education/Training Program | Emergency Medicine, Brookdale University Hospital and M, 1 Brookdale Plaza, Brooklyn, NY 11212 | 2020-04-22 |
| 1811516560 | Amrusha Musunuru | Student in an Organized Health Care Education/Training Program | Room 222 Chc, Department of Surgical Services, The Broo, Brookdale, NY 11212 | 2020-04-13 |
| 1508414707 | Sri Lakshmi Atthota | Student in an Organized Health Care Education/Training Program | Brookdale University Hospital,room 222, Chc, One Brookdale Plaza, Brooklyn,new York, NY 11212 | 2019-08-30 |
| 1457812273 | Shane Devanand Naidoo | Student in an Organized Health Care Education/Training Program | Dept of Emergency Medicine, Brookdale Hospital Med Cntr, 1 Brookdale Plaza, Brooklyn, NY 11212 | 2019-03-26 |
| 1790262467 | Xiao Xiong You | Student in an Organized Health Care Education/Training Program | 1 Brookdale Plaza, Department of Adult Psychiatry, Brooklyn, NY 11212 | 2018-07-25 |
| 1215426143 | Danielle Levy | Counselor | 298 Hegeman Ave, Brooklyn, NY 11212 | 2018-05-07 |
| 1699298026 | Alexander Andreev | Student in an Organized Health Care Education/Training Program | 1 Brookdale Plaza, Brooklyn, Brooklyn, NY 11212 | 2017-07-18 |
| 1598288011 | Naga Venkata Divya Challa | Student in an Organized Health Care Education/Training Program | One Brookdale Plaza, 8 Chc Room 801-5, Department of Pediatrics, Brookdale University Hospital, Brooklyn, NY 11212 | 2017-07-18 |
| 1912428921 | Sadrac Edouard | Licensed Practical Nurse | 498 East 94th St, Brooklyn, NY 11212 | 2017-06-29 |
| 1023544194 | Orrett Layne | Licensed Practical Nurse | 279 East 92nd Street, Brooklyn, NY 11212 | 2017-05-10 |
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| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760916324 | Nayab Chowhan | General Acute Care Hospital | 818 Friel Pl, Brooklyn, NY 11218-2609 | 2017-04-20 |
| 1376083378 | Department of Education | General Acute Care Hospital | 923 Elton Street, 2nd Floor, Brooklyn, NY 11208 | 2017-02-24 |
| 1528516176 | The Brookdale University Hospital and Medical Center | General Acute Care Hospital | 2274 E 14th St, 1st Floor, Brooklyn, NY 11229-4313 | 2016-09-13 |
| 1376997528 | Mariyam Abbasi | General Acute Care Hospital | 3906 Avenue P, Brooklyn, NY 11234-3502 | 2016-04-13 |
| 1588020994 | New York Presbyterian Weill Cornell | General Acute Care Hospital | 3025 Ocean Ave Apt 4b, Brooklyn, NY 11235-3421 | 2016-01-14 |
| 1548630635 | Ilana Blum | General Acute Care Hospital | 1549 Ryder St, Brooklyn, NY 11234-3505 | 2015-10-01 |
| 1609258227 | Wyckoff Heights Medical Center | General Acute Care Hospital | 987 Putnam Ave Apt 3a, Brooklyn, NY 11221-4295 | 2015-06-19 |
| 1659752459 | Wyckoff Heights Medical Center | General Acute Care Hospital | 653 Knickerbocker Ave, Apt 3r, Brooklyn, NY 11221-5040 | 2015-06-17 |
| 1972999282 | Lauren Grotell | General Acute Care Hospital | 128 Falmouth St, Brooklyn, NY 11235-3006 | 2015-04-13 |
| 1396143954 | Execu-search | General Acute Care Hospital | 1155 Pennsylvania Ave Apt 5g, Brooklyn, NY 11239-1203 | 2014-12-15 |
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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.