Organization · Type 2 NPI

New York City Health and Hospitals Corporation

Clinic/Center · Brooklyn, NY

NPI number 1922736727 Active

Practice location

Broadway Community Center Of Excellence, 815 Broadway
Brooklyn, NY 11206-5318

Call (646) 614-8265 Map

Fax (646) 614-8386

Mailing address

815 Broadway
Brooklyn, NY 11206-5318

Specialties and licenses

Taxonomy	Code	License
Internal Medicine Physician	207R00000X	None listed
Clinic/Center Primary	261Q00000X	None listed

Clinic/Center: 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).

Other clinic/center providers in Brooklyn

See all in Brooklyn →

NPI record

NPI: 1922736727
Entity type: Organization (Type 2)
Issued: Aug 10, 2022
Last updated: Apr 2, 2025
Status: Active

Other names

<unavail>
Broadway Community Health Center of Excellence · doing business as
Broadway Community Health Center of Excellence · doing business as

Authorized official

Luchy Jackson
Director Managed Care
(212) 238-7815

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1922736727

New York City Health and Hospitals Corporation's National Provider Identifier is 1922736727, issued on Aug 10, 2022. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Brooklyn, NY. The record was last updated on Apr 2, 2025.