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Become a Member...

How Do you Join HHC Connectx? Complete an Enrollment and Referral Agreement Form

How do you join HHC Connectx?  It’s easy, just follow the simple three steps below:

  1. Reach out to your Community Referral (HHC Connectx) Office contact (listed below).
  2. Send the completed Enrollment and Referral Agreement Form back to your Community Referral (HHC Connectx) Office contact.

In order to promote continuity of care, HHC encourages referring providers to complete an Enrollment and Referral Agreement Form with their affiliated HHC hospital. A completed and signed Enrollment and Referral Agreement Form will be a requirement for providers to join MetroPlus for the first time or go through the Metroplus recredentialing process.  It will also be a requirement to join HHC Connectx, with its many benefits, including use of the Community Referral (HHC Connectx) Office at your facility to expedite your patient referrals into our hospitals. The provider’s use of the Community Referral (HHC Connectx) Office to direct patient referrals facilitates the appropriate exchange of clinical information.

 

Manhattan


Bellevue Hospital Center
462 First Avenue
New York, New York 10016
CHS/CPP H bldg 1st Floor, Rm 137
Att: Katty Sanon

Community Provider Contact: Katty Sanon
Office: (212) 562-1013
Fax: (212) 562-1035
Email: katty.sanon@bellevue.nychhc.org

Harlem Hospital Center
530 Lenox Avenue, Suite 4115
New York, New York 10035
Att: Gloria Ortiz

Community Provider Contact: Gloria Ortiz
Office: (212) 939-4248
Email: Gloria.Morales-Ortiz@nychhc.org

Metropolitan Hospital Center
South Manhattan Healthcare Network
Community Provider Referral Program
1901 First Avenue
OPD Bldg., Rm 1D10
New York, New York 10029
Att: Preston Kendall, Metropolitan Referral Office

Community Provider Contact: Preston Kendall
Office: (212) 423-6491
Fax: (212) 423-7017
Email: Preston.Kendall@nychhc.org

Bronx


Jacobi Medical Center/North Central Bronx
North Bronx health Care Network Community Provider
Referral Program
North Central Bronx Hospital
3424 Kossuth Avenue, Room 1 B 01
Bronx, New York 10467
Att: Antonio D'Addio

Community Provider Contact: Antonio D'Addio
Office: (718) 519-4655 & (718) 519-4940
Fax: (718) 519-3707
Email: antonio.daddio@nbhn.net

Lincoln Medical and Mental Health Center
234 East 149th Street, Office 1B1
Bronx, New York 10451
Att: Donald Velazquez

Community Provider Contact: Donald Velazquez, AED Ambulatory Care
Office: (718) 579-5640 or (718) 579-4793 
Fax: (718) 579-4744
Email: Donald.Velazquez@nychhc.org

Brooklyn


Coney Island Hospital
2601 Ocean Parkway, Rm 1N20
Brooklyn, New York 11235
Att: Terrence Gomes

Community Provider Contact: Terrence Gomes
Office: (718) 616-5505
Fax: (718) 616-4717
Email: Terrence.Gomes@nychhc.org 

Kings County Hospital Center
451 Clarkson Avenue, B-4109
Brooklyn, New York 11203
Att: Derrick Bailey

Community Provider Contact: Derrick Bailey
Office: (718) 245-3338
Fax: (718) 245-3332
Email: Derrick.Bailey@nychhc.org

Woodhull Medical and Mental Health Center
760 Broadway
Brooklyn, New York 11206
Att: Laurel Nadler 

Community Provider Contact: Laurel Nadler 

Office: (718) 963-8607
Fax: (718) 630-3165
Email: Laurel.Nadler@woodhullhc@nychhc.org

Queens


Elmhurst Hospital Center
79-01 Broadway, GB-3
Elmhurst, New York 11373
Att: Felix Moy

Community Provider Contact: Felix Moy
Office: (718) 334-3047
Referral Fax: (718) 334-5977
Email: moyf@nychhc.org

Queens Hospital Center
CHN/PRND Business Development
82-70 164th Street, N- Bldg, Trailer #1
Jamaica, New York 11432
Att: Lynn Huang 

Community Provider Contact: Lynn Huang
Office: (718) 883-2202
Fax: (718) 883-6252
Email: HuangLy@nychhc.org
 

Click on this link to access a copy of the Enrollment and Referral Agreement Form.
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