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KINGSBROOK JEWISH MEDICAL CENTER NPI 1013176700


NPI Information

NPI: 1013176700
Provider Name: KINGSBROOK JEWISH MEDICAL CENTER

Other Name: KINGSBROOK JEWISH MEDICAL CENTER PHYSICIAN GROUP

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
585 SCHENECTADY AVE
MANAGED CARE DEPT
BROOKLYN, NY
ZIP 11203
Phone: (718) 604-5469
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KINGSBROOK JEWISH MEDICAL CENTER is a clinic center in Brooklyn, NY. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). KINGSBROOK JEWISH MEDICAL CENTER NPI is 1013176700. The provider is registered as an organization entity type.
The provider Other Name Is Kingsbrook Jewish Medical Center Physician Group.

The provider's business location address is:

585 SCHENECTADY AVE
MANAGED CARE DEPT
BROOKLYN, NY
ZIP 11203-809
Phone: (718) 604-5469
Fax: (718) 604-5527

The provider's authorized official is Kiran Batheja .
The authorized official title is Vp-revenue Cycle Management and has the following contact phone number (718) 604-5578.

The enumeration date for this NPI number is 6/6/2008 and was last updated on 2/10/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/Center7001033HNEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
101957033MEDICAIDNEW YORK
2W78651MEDICARE PINNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.