1. Home
  2. Directory
  3. New York
  4. Brooklyn
  5. Clinic Center
  6. NPI Profile

WYCKOFF DOCTORS
NPI 1790164317
Clinic/Center in Brooklyn, NY

Active since May 28, 2015CLIA 33D2108443 · Waiver
1610 DEKALB AVENUE, WYCKOFF DOCTORS, BROOKLYN, NY 11237(718) 963-7676(718) 963-6667 Get Directions Write a Review

NPPES record last updated: August 20, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Wyckoff Doctors NPPES

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

WYCKOFF DOCTORS (NPI 1790164317) is a healthcare organization registered as a clinic/center in Brooklyn, New York and active in the NPI registry since May 2015. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Frank Vutrano, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1790164317
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameWYCKOFF DOCTORS
Location Address1610 DEKALB AVENUE, WYCKOFF DOCTORSBrooklyn, NY 11237-3906
Mailing Address374 Stockholm Street, Wyckoff Professional Medical Services, Pc - Faculty PraBrooklyn, NY 11237-4006 · (718) 963-7676 · Fax (718) 963-6667
Phone(718) 963-7676
Fax(718) 963-6667
Organization SubpartYesParent: Wyckoff Professional Medical Services Pc
Authorized OfficialFrank VutranoChief Financial Officer · (718) 963-6702
Enumeration DateMay 28, 2015
Last NPPES UpdateAugust 20, 2016
✔ NPI 1790164317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
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).
1610 DEKALB AVENUE, Brooklyn, NY 11237
Open in Google Maps ↗

Other Identifiers 2

Medicare PINWX0341NY
Medicaid03722025NY

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 33D2108443

Wyckoff Doctor · Brooklyn, NY
Active · expires Mar 26, 2027
CLIA Number33D2108443
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateFebruary 4, 2016
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Gianna Ballon
Laboratory Phone(718) 963-7676
Laboratory LocationWyckoff Doctor1419 Myrtle Ave, Brooklyn, NY 11237
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Wyckoff Doctors's NPI number?

The NPI number for Wyckoff Doctors is 1790164317. It was assigned to this organization in the NPPES registry on May 28, 2015.

Where is Wyckoff Doctors located?

Wyckoff Doctors is located at 1610 Dekalb Avenue Wyckoff Doctors, Brooklyn, NY 11237. The listed phone number is (718) 963-7676.

What is Wyckoff Doctors's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Wyckoff Doctors hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2108443) 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 Wyckoff Doctors was last updated on August 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.