NYSARC INC NYC CHAPTER NPI 1629257381

NPI Information

NPI: 1629257381
Provider Name: NYSARC INC NYC CHAPTER
Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
16120 89TH AVE
APT 2A
JAMAICA, NY
ZIP 11432
Phone: (212) 780-2538
Get Directions

NYSARC INC NYC CHAPTER is an intermediate care facility mentally retarded in Jamaica, NY. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. NYSARC INC NYC CHAPTER NPI is 1629257381. The provider is registered as an organization entity type.

The provider's business location address is:

16120 89TH AVE
APT 2A
JAMAICA, NY
ZIP 11432-901
Phone: (212) 780-2538

The provider's authorized official is Robert C Goldsmith .
The authorized official title is Chief Operating Officer and has the following contact phone number (212) 780-2692.

The enumeration date for this NPI number is 10/30/2007 and was last updated on 10/30/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	315P00000X	Intermediate Care Facility, Intellectual Disabilities				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	02915057	MEDICAID	NEW YORK
2	06198491	OTHER	NEW YORK	NYS OMRDD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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