NPIMap

Organization Active NPI

Public Health Solutions

  • Community Health Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1003007766
Registry record updated Mar 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
License
7002296R Issued in NY
Legal business name
PUBLIC HEALTH SOLUTIONS
Practice address
295 Flatbush Avenue Ext FL 3
Brooklyn, NY 11201-3001
Phone
(718) 522-1144
Fax
(646) 619-6696
NPI assigned
Aug 7, 2007
Organization subpart
Yes
Parent organization
PUBLIC HEALTH SOLUTIONSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 30, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lisa David
Title
Chief Executive Officer
Phone
(646) 619-6400

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Early Intervention Provider Agency 252Y00000X
Community Health Clinic/Center 261QC1500X 7002296R NY Primary

Addresses

Primary practice location

295 Flatbush Avenue Ext FL 3
Brooklyn, NY 11201-3001

Mailing address

40 Worth St FL 4
New York, NY 10013-2904
Phone (646) 619-6400

Other identifiers 1

IdentifierTypeStateIssuer
00245538MedicaidNY

Other names 1

  • Public Health Solutions -SRHC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Public Health Solutions9 organizations share this tax ID, including this one
Part of
Public Health Solutions

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

295 Flatbush Avenue Ext
Fl 3
Brooklyn, NY 11201
Phone (718) 522-1144

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680134400000",
    "number": "1003007766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 WORTH ST FL 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100132904",
            "telephone_number": "646-619-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 FLATBUSH AVENUE EXT FL 3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112013001",
            "telephone_number": "718-522-1144",
            "fax_number": "646-619-6696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUBLIC HEALTH SOLUTIONS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PUBLIC HEALTH SOLUTIONS",
        "enumeration_date": "2007-08-07",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A",
        "authorized_official_last_name": "DAVID",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "646-619-6400"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "NY",
            "license": "7002296R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00245538",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Public Health Solutions -SRHC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.