# THE BROOKDALE HOSPITAL MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** THE BROOKDALE HOSPITAL MEDICAL CENTER
- **Other names:** KINGSBROOK JEWISH MEDICAL CENTER
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1487677472
- **Legal business name:** THE BROOKDALE HOSPITAL MEDICAL CENTER
- **Authorized official:** MR. PAUL ROSENFELD (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (718) 604-5000

## Contact information

- **Practice address:** 585 SCHENECTADY AVE., BROOKLYN, NY 11203
- **Practice address phone:** (718) 604-5363
- **Practice address fax:** (718) 363-6718
- **Mailing address:** 585 SCHENECTADY AVE., KINGSBROOK JEWISH MEDICAL CENTER, BROOKLYN, NY 11203
- **Mailing address phone:** (718) 604-5000
- **Mailing address fax:** (718) 363-6718

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |
| 3336I0012X | Institutional Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | 002008 | NY | Yes |

## Other

- **Enumeration date:** 07/25/2006
- **Last updated:** 11/13/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00243669 | — | NY |
| 01 | — | 3345863 | NCPDP | NY |
| 01 | — | 3345863 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |