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MAIMONIDES FACULTY PRACTICE PLAN
NPI 1053344846
Internal Medicine in Brooklyn, NY

Active since July 08, 2006CLIA 33D2034474 · Waiver
4802 10TH AVE, BROOKLYN, NY 11219(718) 283-8700(718) 635-8709 Get Directions Write a Review

NPPES record last updated: February 21, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Maimonides Faculty Practice Plan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAIMONIDES FACULTY PRACTICE PLAN (NPI 1053344846) is a healthcare organization registered as an internal medicine in Brooklyn, New York and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Ayesha Amin, Senior Vp/ Chief Revenue Officer, as its authorized official.

NPPES Registry Identity

NPI1053344846
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMAIMONIDES FACULTY PRACTICE PLAN
Location Address4802 10TH AVEBrooklyn, NY 11219-2916
Mailing AddressPo Box 27642New York, NY 10087-7642
Phone(718) 283-8700
Fax(718) 635-8709
Organization SubpartNo
Authorized OfficialAyesha AminSenior Vp/ Chief Revenue Officer · (718) 283-8700
Enumeration DateJuly 8, 2006
Last NPPES UpdateFebruary 21, 2024
NPPES CertifiedFebruary 21, 2024
✔ NPI 1053344846 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
4802 10TH AVE, Brooklyn, NY 11219
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2034474

Maimonides Faculty Practice Plan · Brooklyn, NY
Active · expires Mar 26, 2027
CLIA Number33D2034474
Laboratory TypePhysician Office
Certificate Effective DateDecember 27, 2011
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Chaim Gitelis
Laboratory Phone(718) 645-1199
Laboratory LocationMaimonides Faculty Practice Plan3619 Bedford Ave, Ste 1K, Brooklyn, NY 11210
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CARLOS BUZZETTA
Legal Medicine
4802 10TH AVE
BROOKLYN, NY 11219
Kings County (718) 283-8961
LOBELYS A ANICET PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
4802 10TH AVE
BROOKLYN, NY 11219
Kings County (718) 283-5660
CHIAMAKA MEREMETOH MD
Student in an Organized Health Care Education/Training Program
4802 10TH AVE
BROOKLYN, NY 11219
Kings County (718) 283-6000
JESSE M. GALINA
Student in an Organized Health Care Education/Training Program
4802 10TH AVE
BROOKLYN, NY 11219
Kings County (718) 283-6000
DR. ABANOUB ALFY NAKHLA MD
Student in an Organized Health Care Education/Training Program
4802 10TH AVE
BROOKLYN, NY 11219
Kings County (718) 283-6000
CHRISTINE LI MD
Student in an Organized Health Care Education/Training Program
4802 10TH AVE
BROOKLYN, NY 11219
Kings County (718) 283-6000
MS. KATRINA W SOWERBY FNP
Nurse Practitioner (Family)
4802 10TH AVE, PRE-TESTING
BROOKLYN, NY 11219
Kings County (718) 283-7300
MAIMONIDES MEDICAL CENTER MAIMONIDES INFECTIOUS DISEASES FPP
Internal Medicine (Infectious Disease)
4802 10TH AVE
BROOKLYN, NY 11219
Kings County (718) 283-8773

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maimonides Faculty Practice Plan's NPI number?

The NPI number for Maimonides Faculty Practice Plan is 1053344846. It was assigned to this organization in the NPPES registry on July 8, 2006.

Where is Maimonides Faculty Practice Plan located?

Maimonides Faculty Practice Plan is located at 4802 10th Ave, Brooklyn, NY 11219. The listed phone number is (718) 283-8700.

What is Maimonides Faculty Practice Plan's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Maimonides Faculty Practice Plan hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2034474) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Maimonides Faculty Practice Plan was last updated on February 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.