MAIMONIDES MEDICAL CENTER MAIMONIDES CARDIOTHORACIC SURGERY
NPI 1104929090
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Brooklyn, NY

Q: What is Maimonides Medical Center Maimonides Cardiothoracic Surgery's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Active since September 06, 2006

4802 10TH AVE, BROOKLYN, NY 11219(718) 283-8773 Get Directions Write a Review

NPPES record last updated: May 21, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Maimonides Medical Center Maimonides Cardiothoracic Surgery NPPES

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

MAIMONIDES MEDICAL CENTER MAIMONIDES CARDIOTHORACIC SURGERY (NPI 1104929090) is a healthcare organization registered as a thoracic surgery (cardiothoracic vascular surgery) in Brooklyn, New York and active in the NPI registry since September 2006. The organization lists Stephen Lahey, Director, as its authorized official.

NPPES Registry Identity

NPI1104929090

Entity TypeOrganization

Primary Taxonomy208G00000X

Legal Business NameMAIMONIDES MEDICAL CENTER MAIMONIDES CARDIOTHORACIC SURGERY

Location Address4802 10TH AVEBrooklyn, NY 11219-2916

Mailing AddressGpo Box 30060New York, NY 10087-0060

Phone(718) 283-8773

Organization SubpartNo

Authorized OfficialStephen LaheyDirector · (718) 283-8773

Enumeration DateSeptember 6, 2006

Last NPPES UpdateMay 21, 2015

✔ NPI 1104929090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians

Taxonomy Code208G00000X

Definition

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

4802 10TH AVE, Brooklyn, NY 11219

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Other Identifiers 1

Medicare ID-Type UnspecifiedWCW891NY

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 SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Maimonides Medical Center Maimonides Cardiothoracic Surgery is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 10 clinicians reassign Medicare billing to Maimonides Medical Center Maimonides Cardiothoracic Surgery, which bills Medicare for the services they deliver. Of these, 7 practice at this address and 8 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 4

Cardiac Surgery4

Thoracic Surgery4

Cardiovascular Disease (Cardiology)1

General Surgery1

Clinicians, nearest first (10)

Gregory Crooke, M.D.

Cardiac Surgery

NPI 1457351744

4802 10TH AVE
Brooklyn, NY 11219

(718) 283-7686