| Brooklyn Plaza Medical Center, Inc. | |
|
650 Fulton St Brooklyn NY 11217-1517 | |
| (718) 596-9800 | |
| (718) 596-9889 |
| Full Name | Brooklyn Plaza Medical Center, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 650 Fulton St, Brooklyn, New York |
| Authorized Official Name and Position | Philip Onorato (CEO) |
| Authorized Official Contact | 7185969800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brooklyn Plaza Medical Center, Inc. 650 Fulton St Brooklyn NY 11217-1517 Ph: (718) 596-9800 | Brooklyn Plaza Medical Center, Inc. 650 Fulton St Brooklyn NY 11217-1517 Ph: (718) 596-9800 |
| NPI Number | 1336113398 |
|---|---|
| Provider Enumeration Date | 02/15/2006 |
| Last Update Date | 09/22/2023 |
| Medicare PECOS PAC ID | 7113961178 |
|---|---|
| Medicare Enrollment ID | O20080421000478 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336113398 | NPI | - | NPPES |
| 0000224501 | Other | AMERICHOICE | |
| 27556010 | Other | HEALTH PLUS CHILD HEALTH | |
| 0120218401 | Other | AMERICHOICE | |
| 40426028484 | Other | FIDELIS | |
| 000023004 | Other | AMERICHOICE | |
| 116710101 | Other | HEALTH PLUS CHILD HEALTH | |
| 251330401 | Other | HEALTH PLUS CHILD HEALTH | |
| 275780101 | Other | HEALTH PLUS CHILD HEALTH | |
| 5999757 | Other | GHI | |
| 000195901 | Other | AMERICHOICE | |
| 010007902 | Other | AMERICHOICE | |
| 010223901 | Other | AMERICHOICE | |
| 204590101 | Other | HEALTH PLUS CHILD HEALTH | |
| 40426029577 | Other | FIDELIS | |
| 40426029652 | Other | FIDELIS | |
| 40426058486 | Other | FIDELIS | |
| 00357451 | Medicaid | NY | |
| 2361244 | Other | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 7001250R (New York) | Primary |
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