LUTHERAN MEDICAL CENTER (NPI# 1992812317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992812317 |
| Entity Type | Organization |
| Organization Name | LUTHERAN MEDICAL CENTER |
| Other Organization Name | CARIBBEAN AMERICAN FAMILY HEALTH CENTER |
| Practice Address |
3414 Church Ave Brooklyn NY 11203-2714 |
| Mailing Address |
367 Emerson Pl Valley Stream NY 11580-2832 |
| Practice Telephone | 7189409425 |
| Practice Fax Number | 7189402914 |
| Mailing Telephone | 5167926609 |
| Mailing Fax Number | 7189402914 |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JOSEPH ANDRE LOUIS (FAMILY PRACTICE MD) |
| Authorized Official Telephone | 718-940-9425 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 231883 | NY | Hospitals |
| Other Name | Type Code |
|---|---|
| Caribbean American Family Health Center | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679988380 | Lutheran Medical Center | Health Maintenance Organization | 305 Dominick Pont, Knoxville, TN 37934 | 2014-06-23 |
| 1851655856 | Lutheran Medical Center | General Acute Care Hospital | 2011 Kenneth Rd, Merrick, NY 11566-5508 | 2012-06-25 |
| 1497043673 | Lutheran Medical Center | General Acute Care Hospital | 150, 55th Street, Lutheran Medical Center-department of Family Medicine, Brooklyn, NY 11220 | 2011-07-21 |
| 1801126099 | Lutheran Medical Center | General Acute Care Hospital | 2409 E 23rd St, Brooklyn, NY 11235-2510 | 2010-01-11 |
| 1619912052 | Lutheran Medical Center | Clinic/Center | 812 54th St, Brooklyn, NY 11220-3209 | 2006-06-19 |
| 1649527516 | Lutheran Medical Center | Dentist | 150 55th St, Dental Department, Brooklyn, NY 11220-2508 | 2012-08-10 |
| 1194002121 | Lutheran Medical Center | General Acute Care Hospital | 150 55th St, Brooklyn, NY 11220-2553 | 2011-11-04 |
| 1154644292 | Lutheran Medical Center | Clinic/Center | 150 55th St, Brooklyn, NY 11220-2559 | 2010-03-03 |
| 1558436360 | Lutheran Medical Center | Chronic Disease Hospital | 150 55th St, Brooklyn, NY 11220-2559 | 2006-11-21 |
| 1023182102 | Lutheran Medical Center | Chronic Disease Hospital | 514 49th St, Brooklyn, NY 11220-2010 | 2006-11-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LUTHERAN MEDICAL CENTER FOUNDATION | 8300 W 38th Ave, Wheat Ridge, CO 80033-6005 |
| Colorado Business Entities | Lutheran Medical Center Foundation | 8300 West 38th Avenue, Wheat Ridge, CO 80033 |
| Street Address |
3414 CHURCH AVE |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11203-2714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497379275 | Zev A Kizelnik | Student in an Organized Health Care Education/Training Program | 3414 Church Ave, Brooklyn, NY 11203-2714 | 2020-06-08 |
| 1841819190 | Abraham Kwok | Student in an Organized Health Care Education/Training Program | 3414 Church Ave, Brooklyn, NY 11203-2714 | 2020-04-15 |
| 1407319569 | Keiara Jerai Evans | Student in an Organized Health Care Education/Training Program | 3414 Church Ave, Brooklyn, NY 11203-2714 | 2019-04-07 |
| 1306326020 | Ayanna Makoonsingh-clare | Nurse Practitioner | 3414 Church Ave, Brooklyn, NY 11203-2714 | 2018-08-21 |
| 1356836936 | Kimberley Joell Mahoney | Dentist | 3414 Church Ave, Brooklyn, NY 11203-2714 | 2018-06-26 |
| 1508272964 | She Zhao | Registered Nurse | 3414 Church Ave, Brooklyn, NY 11203-2714 | 2014-07-07 |
| 1497092274 | Asia Frazier | Pediatrics | 3414 Church Ave, Brooklyn, NY 11203-2714 | 2013-01-13 |
| 1710259429 | Stevie Reynolds | Dentist | 3414 Church Ave, Brooklyn, NY 11203-2714 | 2012-01-27 |
| 1780978452 | Kelechi Ngwangwa | Pediatrics | 3414 Church Ave, Brooklyn, NY 11203-2714 | 2011-05-30 |
| 1831409861 | Rose C. Ubanwa | Nurse Practitioner | 3414 Church Ave, Brooklyn, NY 11203-2714 | 2010-10-08 |
| 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 | 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.