WYCKOFF HEIGHTS MEDICAL CENTER LABORATORY SERVICES (NPI# 1972110096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972110096 |
| Entity Type | Organization |
| Organization Name | WYCKOFF HEIGHTS MEDICAL CENTER LABORATORY SERVICES |
| Practice Address |
374 Stockholm St Brooklyn NY 11237-4006 |
| Practice Telephone | 7184864136 |
| Enumeration Date | 2020-09-24 |
| Last Update Date | 2020-09-24 |
| Authorized Official Name | VALI GACHE (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 7182401795 |
| Is Organization Subpart | Y |
| Parent Organization Name | WYCKOFF HEIGHTS MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| Street Address |
374 STOCKHOLM ST |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11237-4006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700886322 | Wyckoff Heights Medical Center | General Acute Care Hospital | 374 Stockholm St, Brooklyn, NY 11237-4006 | 2005-07-26 |
| 1285233189 | Camille I Del Pilar Rodriguez | General Practice | 374 Stockholm St, Brooklyn, NY 11237-4006 | 2020-10-21 |
| 1134734130 | Andre Cosmo Ruela | General Practice | 374 Stockholm St, Brooklyn, NY 11237-4006 | 2020-09-15 |
| 1134732233 | Fehintola Orisamolu | Nurse Practitioner | 374 Stockholm St, Brooklyn, NY 11237-4006 | 2020-08-28 |
| 1548871189 | Leonidha Duka | Student in an Organized Health Care Education/Training Program | 374 Stockholm St, Brooklyn, NY 11237-4006 | 2020-08-16 |
| 1083225890 | Luis Carlos Moron Mercado | General Practice | 374 Stockholm St, Brooklyn, NY 11237-4006 | 2020-08-14 |
| 1891305207 | Oyinem Odumah | Student in an Organized Health Care Education/Training Program | 374 Stockholm St, Brooklyn, NY 11237-4006 | 2020-08-01 |
| 1609491646 | Bilyana Ristic | Dietitian, Registered | 374 Stockholm St, Brooklyn, NY 11237-4006 | 2020-06-16 |
| 1881219061 | Victoria Lewis | Student in an Organized Health Care Education/Training Program | 374 Stockholm St, Brooklyn, NY 11237-4006 | 2020-06-12 |
| 1477178812 | Michael Kho | Student in an Organized Health Care Education/Training Program | 374 Stockholm St, Brooklyn, NY 11237-4006 | 2020-06-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194379644 | Giovanna Fiorella Ramirez Barbieri | Obstetrics & Gynecology | 374 Stockholm St, Brooklyn, Ny 11237, Brooklyn, NY 11237 | 2019-08-01 |
| 1013575554 | Miseon Kang | Counselor | Brooklyn Psychotherapy, 148 Wilson Ave, Brooklyn, NY 11237 | 2019-05-30 |
| 1023598943 | Kathryn Falk | Speech-Language Pathologist | Ps 376 C/o Kathryn Falk, 194 Harman Street, Brooklyn, NY 11237 | 2018-08-20 |
| 1437648870 | Dawn Tya Chapin | Student in an Organized Health Care Education/Training Program | Wyckoff Heights Medical Center, 374 Stockholm Street, Brooklyn, NY 11237 | 2018-05-01 |
| 1518410471 | Cameron Hetzler | Dentist | 374 Stockholm St., Brooklyn, NY 11237 | 2016-07-27 |
| 1215399043 | Rose R Capuz | Skilled Nursing Facility | 122 St Nicholas Avenue, Suite 2, Brooklyn, NY 11237 | 2016-03-22 |
| 1245695030 | Wyckoff Heights Dental Services, PC | Clinic/Center | Wyckoff Pediatric Care Center - 1411 Myrtle Avenue, Wyckoff Heights Dental Services, PC, Brooklyn, NY 11237 | 2015-12-21 |
| 1245615442 | Estefany Sanchez Mendez | Pediatrics | 374 Stockholm Street - Faculty Practice Dept, Wyckoff Professional and Medical Services, PC, Brooklyn, NY 11237 | 2015-07-29 |
| 1033507231 | Macarena Rufin | Counselor | 315 Wyckoff Ave., 6th Floor, Brooklyn, NY 11237 | 2014-12-23 |
| 1740691021 | Wyckoff Anesthesia and Medical Services, PC | Clinic/Center | 93-95 Wyckoff Ave, Wyckoff Anesthesia and Medical Services, PC, Brooklyn, NY 11237 | 2014-05-08 |
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| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
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| 1265060289 | Biotia, Inc. | Clinical Medical Laboratory | 140 58th St., Building A Suite 8j, Brooklyn, NY 11220-1122 | 2020-03-27 |
| 1316597958 | Labq Clinical Diagnostics LLC Dba Labq Diagnostics | Clinical Medical Laboratory | 140 58th St. Bldg A, Suite 3l, Brooklyn, NY 11220 | 2019-09-16 |
| 1699279570 | W. A. Foote Memorial Hospital, Inc | Clinical Medical Laboratory | 153 Wamplers Lake Rd, Brooklyn, MI 49230-9585 | 2018-03-23 |
| 1467805952 | Diagnostics In Totality Inc | Clinical Medical Laboratory | 816 45th St, Brooklyn, NY 11220-1611 | 2016-07-20 |
| 1932589041 | L&m Lab Corp | Clinical Medical Laboratory | 2960 Ocean Ave Fl 5, Brooklyn, NY 11235-3202 | 2015-06-03 |
| 1245628163 | Park Vascular LLC | Clinical Medical Laboratory | 990 E 23rd St, Brooklyn, NY 11210-3622 | 2014-12-30 |
| 1417355678 | Atlantic Diagnostics LLC | Clinical Medical Laboratory | 1642 W 9th St, Brooklyn, NY 11223-1247 | 2014-12-19 |
| 1588093165 | Shiel Holdings LLC | Clinical Medical Laboratory | 63 Flushing Avenue, Unit 336, 2nd Floor, Brooklyn, NY 11205-1083 | 2013-11-05 |
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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.