SUNY DOWNSTATE MEDICAL CENTER AT LICH (NPI# 1821391814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821391814 |
| Entity Type | Organization |
| Organization Name | SUNY DOWNSTATE MEDICAL CENTER AT LICH |
| Practice Address |
339 Hicks St Brooklyn NY 11201 |
| Mailing Address |
339 Hicks St Brooklyn NY 11201-5509 |
| Practice Telephone | 7187801000 |
| Mailing Telephone | 7187801000 |
| Enumeration Date | 2010-12-13 |
| Last Update Date | 2011-01-07 |
| Authorized Official Name | MR. GERRY DANTIS (AVP FOR HOSPITAL FINANCE) |
| Authorized Official Telephone | 7188264901 |
| Is Organization Subpart | Y |
| Parent Organization Name | SUNY DOWNSTATE MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 7001037H | NY | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 7001037H | 05 | |
| NY | MEDICARE PROVIDER NUMBER | 330350 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447581954 | Suny Downstate Medical Center At Lich | Rehabilitation Unit | 339 Hicks St, Brooklyn, NY 11201-5509 | 2010-01-22 |
| Street Address |
339 HICKS ST |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912901679 | Ciril J Godec | Urology | 339 Hicks St, Fl 7, Brooklyn, NY 11201-5509 | 2005-06-10 |
| 1376985069 | Parul Patel | Pharmacist | 339 Hicks St, Brooklyn, NY 11201-5509 | 2013-07-23 |
| 1124368402 | Sonia A D'amelio Raymond | Pharmacist | 339 Hicks St, Brooklyn, NY 11201-5509 | 2013-02-22 |
| 1396080503 | Marcia Andrea Reid | Nurse Practitioner | 339 Hicks St, Brooklyn, NY 11201-5509 | 2012-11-29 |
| 1184983215 | Jonathan Shih-chen Kung | Internal Medicine | 339 Hicks St, Brooklyn, NY 11201-5509 | 2012-05-09 |
| 1861759169 | Hyoung Kyu Oh | Radiology | 339 Hicks St, Brooklyn, NY 11201-5509 | 2012-04-12 |
| 1295009926 | Rose Suzette Bristol | Physician Assistant | 339 Hicks St, 3rd Floor Fuller, Brooklyn, NY 11201-5509 | 2012-02-27 |
| 1386917383 | Pearline Mentis Thompson | Nurse Practitioner | 339 Hicks St, Brooklyn, NY 11201-5509 | 2012-02-22 |
| 1720374986 | Ammar Mahmoud | Obstetrics & Gynecology | 339 Hicks St, Brooklyn, NY 11201-5509 | 2011-06-24 |
| 1205129459 | Simran Kaur Mann | Internal Medicine | 339 Hicks St, Dept of Internal Medicine, Brooklyn, NY 11201-5509 | 2011-05-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992322267 | Sohrab Singh | Student in an Organized Health Care Education/Training Program | House Staff/gme Office, 121 Dekalb Avenue, The Brooklyn Hospital Center, Brooklyn, NY 11201 | 2020-07-02 |
| 1841812880 | Tara Elizabeth Buentello | Social Worker | C/o The Brooklyn Hospital Center Boy 197, 121 Dekalb Ave, Brooklyn, NY 11201 | 2020-05-13 |
| 1760017842 | New York University | Dentist | 445 Albee Square West, Floors 4a/5a, Brooklyn, NY 11201 | 2020-03-09 |
| 1851924294 | Tbhc Medical Services PC | Clinic/Center | 514 Fulton Street, Brooklyn, NY 11201 | 2020-02-13 |
| 1962040246 | Community Health Project Inc. | Clinic/Center | 40 Flatbush Avenue Extension, Brooklyn, NY 11201 | 2019-12-17 |
| 1558908731 | Ghalab Ali Alhashidi | Pharmacist | 250 Pacific St Apt#26, Brooklyn, NY 11201 | 2019-12-05 |
| 1396394524 | Avis A Sanderson | Specialist | 1 Pierre Point Plaza, Brooklyn, NY 11201 | 2019-09-10 |
| 1316501380 | Alice Weijia Huang | Social Worker | 200 Cadman Plz W Fl 12, Brooklyn, NY 11201 | 2019-04-25 |
| 1093274474 | Wts Medical Staffing, LLC | Home Health | 195 Montague St 14th Fl, Brooklyn, NY 11201 | 2019-03-15 |
| 1366927048 | Anna House | Social Worker | 210 Joralemon Street, Third Floor, Brooklyn, NY 11201 | 2018-09-28 |
| Find all providers in zip 11201 | ||||
| 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 |
| 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.