| Brownsville Community Development Corporation | |
|
592 Rockaway Ave Brooklyn NY 11212-5539 | |
| (718) 345-5000 | |
| (718) 346-6747 |
| Full Name | Brownsville Community Development Corporation |
|---|---|
| Speciality | Clinic/Center |
| Location | 592 Rockaway Ave, Brooklyn, New York |
| Authorized Official Name and Position | Mecca Hawkins (DIRECTOR OF CREDENTIALING) |
| Authorized Official Contact | 7183456366 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brownsville Community Development Corporation 592 Rockaway Ave Brooklyn NY 11212-5539 Ph: (718) 345-5000 | Brownsville Community Development Corporation 592 Rockaway Ave Brooklyn NY 11212-5539 Ph: (718) 345-5000 |
| NPI Number | 1578612412 |
|---|---|
| Provider Enumeration Date | 01/09/2007 |
| Last Update Date | 04/25/2022 |
| Medicare PECOS PAC ID | 7416903323 |
|---|---|
| Medicare Enrollment ID | O20071130000198 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578612412 | NPI | - | NPPES |
| 00723253 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Joseph R Ida |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366418287 PECOS PAC ID: 3375533631 Enrollment ID: I20040517001574 |
| Provider Name | Isaiah Pinckney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922006022 PECOS PAC ID: 4284603804 Enrollment ID: I20040930000471 |
| Provider Name | Carole M. Marks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396817292 PECOS PAC ID: 1850357021 Enrollment ID: I20041209000038 |
| Provider Name | Jesi Ramone |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407819907 PECOS PAC ID: 3577518513 Enrollment ID: I20050314000172 |
| Provider Name | Juan Sandoval |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770563272 PECOS PAC ID: 1658319108 Enrollment ID: I20050425000538 |
| Provider Name | T. Remy Jean-francois |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871662379 PECOS PAC ID: 9032138995 Enrollment ID: I20051121000402 |
| Provider Name | Oluyemi O Badero |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598877839 PECOS PAC ID: 6608880075 Enrollment ID: I20060206000782 |
| Provider Name | Robert G Blake |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023036548 PECOS PAC ID: 6709884497 Enrollment ID: I20061113000105 |
| Provider Name | Martin D Bruner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790712289 PECOS PAC ID: 9234233206 Enrollment ID: I20070330000447 |
| Provider Name | Kernilde Felix Marie Jean-jerome |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1649297680 PECOS PAC ID: 5698869758 Enrollment ID: I20070919000959 |
| Provider Name | Dawn M Maison |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700940111 PECOS PAC ID: 9931208527 Enrollment ID: I20071203000014 |
| Provider Name | Olusegun M Adeonigbagbe |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1073570081 PECOS PAC ID: 3577638782 Enrollment ID: I20080822000641 |
| Provider Name | Daryl D Mcclendon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568795359 PECOS PAC ID: 8729126099 Enrollment ID: I20091105000599 |
| Provider Name | Shawkat Mustafa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720238637 PECOS PAC ID: 5092840504 Enrollment ID: I20100322000805 |
| Provider Name | Matthew Bristol |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1073567301 PECOS PAC ID: 1951587054 Enrollment ID: I20110525000012 |
| Provider Name | Jessica Handler |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1093002529 PECOS PAC ID: 1355509134 Enrollment ID: I20120224000505 |
| Provider Name | Ankur R Shah |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1144411745 PECOS PAC ID: 1052560398 Enrollment ID: I20121002000646 |
| Provider Name | Camille Camille Taylor-mullings |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629133681 PECOS PAC ID: 7911006366 Enrollment ID: I20130530000367 |
| Provider Name | Rose-marie Florence Regis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295813616 PECOS PAC ID: 6305945742 Enrollment ID: I20140210000369 |
| Provider Name | Daniel V Lowe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639475767 PECOS PAC ID: 9133358047 Enrollment ID: I20140218000949 |
| Provider Name | Pamela M Elliott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710184346 PECOS PAC ID: 0648551788 Enrollment ID: I20170103000829 |
| Provider Name | Vilma Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073686168 PECOS PAC ID: 8729364609 Enrollment ID: I20170406002437 |
| Provider Name | Claude Offord |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801992672 PECOS PAC ID: 1951616994 Enrollment ID: I20170407001212 |
| Provider Name | Lourdes Albandoz |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1538316385 PECOS PAC ID: 4880970714 Enrollment ID: I20170407001507 |
| Provider Name | Anne Marie Kathleen Mulle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447401583 PECOS PAC ID: 5395876015 Enrollment ID: I20170412001560 |
| Provider Name | Pamela Evelyn Ledgister |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699836510 PECOS PAC ID: 5597864934 Enrollment ID: I20170414000436 |
| Provider Name | Bernadette Dolce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831343938 PECOS PAC ID: 1355656166 Enrollment ID: I20170517002077 |
| Provider Name | Richard A Clare |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134557937 PECOS PAC ID: 5092079723 Enrollment ID: I20180507000032 |
| Provider Name | Marie Brunette Damis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043593700 PECOS PAC ID: 2961743513 Enrollment ID: I20190408001911 |
| Provider Name | Kevin Constantine Riley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285117598 PECOS PAC ID: 1850633512 Enrollment ID: I20190429001340 |
| Provider Name | Bobbette K Syders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538638762 PECOS PAC ID: 5597190744 Enrollment ID: I20200115002281 |
| Provider Name | Latoya Tamara Monique Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811408024 PECOS PAC ID: 5890121990 Enrollment ID: I20200210001387 |
| Provider Name | Ivion Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881710267 PECOS PAC ID: 2264747021 Enrollment ID: I20201124002000 |
| Provider Name | Odelia Naila Lewis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205330693 PECOS PAC ID: 0042616369 Enrollment ID: I20210910001663 |
| Provider Name | Abraham Demoz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326110016 PECOS PAC ID: 9032110853 Enrollment ID: I20221110000087 |
| Provider Name | Shelia L Haines |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659080760 PECOS PAC ID: 2567836182 Enrollment ID: I20230322002785 |
| Provider Name | Candace A Goodwyn |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1346006830 PECOS PAC ID: 2466997325 Enrollment ID: I20240716000352 |
| Provider Name | Tshika F Beerram |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265110696 PECOS PAC ID: 9032647680 Enrollment ID: I20250109001933 |
American Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 434 Rockaway Ave, Brooklyn, NY 11212 Phone: 718-346-2628 Fax: 718-346-9381 | |
Refua Shlema Medical Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 499 Crown St, Brooklyn, NY 11213 Phone: 347-614-1717 | |
University Physicians Of Brooklyn Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 450 Clarkson Ave, Suite A, Brooklyn, NY 11203 Phone: 718-270-1112 Fax: 718-270-3170 | |
Sikder Medical Care P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 504 Mcdonald Ave, Brooklyn, NY 11218 Phone: 917-442-1797 Fax: 718-732-0783 | |
Flatbush Medical Plaza, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1468 Flatbush Ave., Brooklyn, NY 11210 Phone: 917-966-2700 Fax: 917-966-2703 | |
Rds Medical P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7510 4th Ave, Ste 5, Brooklyn, NY 11209 Phone: 718-836-0761 Fax: 718-836-7369 | |
Brooks Medical, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5014 Beverley Rd, Brooklyn, NY 11203 Phone: 718-241-0182 Fax: 718-451-2517 |