WYCKOFF HEIGHTS MEDICAL CENTER (NPI# 1902288459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902288459 |
| Entity Type | Organization |
| Organization Name | WYCKOFF HEIGHTS MEDICAL CENTER |
| Practice Address |
987 Putnam Ave Apt 3a Brooklyn NY 11221-4295 |
| Practice Telephone | 9177961693 |
| Mailing Telephone | 9177961693 |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2015-06-22 |
| Authorized Official Name | DR. INNJEA S PARK (PODIATRY) |
| Authorized Official Telephone | 9177961693 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | N004232 | NY | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104379593 | Wyckoff Heights Medical Center | Clinic/Center | 545 Christopher Ave, Brooklyn, NY 11212-7029 | 2016-08-02 |
| 1609258227 | Wyckoff Heights Medical Center | General Acute Care Hospital | 987 Putnam Ave Apt 3a, Brooklyn, NY 11221-4295 | 2015-06-19 |
| 1851772511 | Wyckoff Heights Medical Center | Clinic/Center | 43 Powers St # 1, Brooklyn, NY 11211-3514 | 2015-06-17 |
| 1659752459 | Wyckoff Heights Medical Center | General Acute Care Hospital | 653 Knickerbocker Ave, Apt 3r, Brooklyn, NY 11221-5040 | 2015-06-17 |
| 1093196776 | Wyckoff Heights Medical Center | Clinic/Center | 675 Water Street, Apt 16d, New York, NY 10002 | 2015-06-17 |
| 1700886322 | Wyckoff Heights Medical Center | General Acute Care Hospital | 374 Stockholm St, Brooklyn, NY 11237-4006 | 2005-07-26 |
| 1477115251 | Wyckoff Heights Medical Center | Emergency Medicine | 374 Stockholm St, Brooklyn, NY 11237-4006 | 2019-07-02 |
| 1639551070 | Wyckoff Heights Medical Center | General Acute Care Hospital | 10460 Queens Blvd, Apt 10p, Forest Hills, NY 11375-7318 | 2015-06-22 |
| 1922480607 | Wyckoff Heights Medical Center | General Acute Care Hospital | 374 Stockholm Street, Brooklyn, NY 11237 | 2015-06-18 |
| 1033514393 | Wyckoff Heights Medical Center | General Acute Care Hospital | 374 Stockholm St, Brooklyn, NY 11237-4006 | 2014-10-29 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | WYCKOFF HEIGHTS MEDICAL CENTER | 374 Stockholm St, Brooklyn, NY 11237-4006 |
| Street Address |
987 PUTNAM AVE APT 3A |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11221-4295 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609258227 | Wyckoff Heights Medical Center | General Acute Care Hospital | 987 Putnam Ave Apt 3a, Brooklyn, NY 11221-4295 | 2015-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487280558 | Katherine Purtle | Speech-Language Pathologist | 995 Lafayette Ave, Garden, Brooklyn, NY 11221 | 2020-03-20 |
| 1528573078 | Magali Cruz-anselme | Registered Nurse | Ebc High School, 1155 Dekalb Ave, Brooklyn, NY 11221 | 2017-12-06 |
| 1972015220 | Faith Nicole Lawrence | Social Worker | 406 Kosciuszko Street, Brooklyn, NY 11221 | 2017-10-26 |
| 1740704311 | Tanisha Williams | Social Worker | 293 Kosciuszko Street, Brooklyn, NY 11221 | 2017-07-26 |
| 1376072504 | Jessica Danielle Rowland | Behavioral Analyst | 706 Quincy Street, Brooklyn, NY 11221 | 2017-06-10 |
| 1396274668 | Kabetha Udayan | Case Manager/Care Coordinator | 163 Van Buren Street, Brooklyn, NY 11221 | 2017-06-08 |
| 1952858581 | Nadia Khalil | Specialist | 111 Living Ton Street, Brooklyn, NY 11221 | 2016-09-01 |
| 1467905240 | Kavena Shell Foxworth | Licensed Practical Nurse | 600 Gates Avenue, Apt 6b, Brooklyn, NY 11221 | 2016-07-28 |
| 1881056919 | Diondra Edmonds | Registered Nurse | 217 Lewis Ave, 4r, Brooklyn, NY 11221 | 2016-03-28 |
| 1871953984 | Ultimate Care, Inc. | Home Health | 1000 Gates Ave, 4th Floor, Brooklyn, NY 11221 | 2016-03-02 |
| Find all providers in zip 11221 | ||||
| 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.