NYSARC INC NYC CHAPTER NPI 1790852820

NPI Information

NPI: 1790852820
Provider Name: NYSARC INC NYC CHAPTER
Classification: Intermediate Care Facility, Mentally Retarded - 315P00000X
Entity Type: Organization
Address:
6621 MARATHON PKWY
LITTLE NECK, NY
ZIP 11362
Phone: (212) 780-2631
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NYSARC INC NYC CHAPTER is an intermediate care facility mentally retarded in Little Neck, NY. The provider is (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. NYSARC INC NYC CHAPTER NPI is 1790852820. The provider is registered as an organization entity type.

The provider's business location address is:

6621 MARATHON PKWY
LITTLE NECK, NY
ZIP 11362-350
Phone: (212) 780-2631
Fax: (212) 777-5893

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 11/30/2006 and was last updated on 8/22/2020.

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, Mentally Retarded				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	01229914	MEDICAID	NEW YORK
2	6198455	OTHER	NEW YORK	NYS OMRDD OPERATING CERT

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: 11/14/2023

NPI Synchronization or Removal

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