MAIMONIDES MEDICAL CENTER NPI 1629529508

NPI Information

  • NPI: 1629529508
  • Provider Name: MAIMONIDES MEDICAL CENTER
  • Classification: Clinic/Center - 261QM2500X
  • Specialization: Medical Specialty
  • Entity Type: Organization
  • Address: 4802 TENTH AVENUE
    BROOKLYN, NY
    ZIP 11219
  • Phone: (718) 283-8471

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NPI Details

MAIMONIDES MEDICAL CENTER is a medical specialty clinic center in Brooklyn, NY. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). MAIMONIDES MEDICAL CENTER NPI is 1629529508. The provider is registered as an organization entity type.

The provider's business location address is:

4802 TENTH AVENUE
BROOKLYN, NY
ZIP 11219
Phone: (718) 283-8471

The provider's authorized official is Susan Malis .
The authorized official title is Administrative Coordinator, Mu and has the following contact phone number (718) 283-5694.

The enumeration date for this NPI number is 10/17/2016 and was last updated on 10/17/2016.

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
1261QM2500XClinic/CenterMedical Specialty175663NEW YORKYes

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: 3/30/2025

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