Workmen'S Circle Home & Infirmary Foundation for the Aged, New York BR

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

WORKMEN'S CIRCLE HOME & INFIRMARY FOUNDATION FOR THE AGED, NEW YORK BR

Practice address

3155 Grace Ave
Bronx, NY 10469-3134

Phone

(718) 379-8100

Fax

(718) 379-0825

NPI assigned

Dec 20, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Arthur Cooperberg

Title

C.F.O.

Phone

(718) 379-8100

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Workmen's Circle MultiCare Center Doing business as

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1003970559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3155 GRACE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104693134",
            "telephone_number": "718-379-8100",
            "fax_number": "718-379-0825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3155 GRACE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104693134",
            "telephone_number": "718-379-8100",
            "fax_number": "718-379-0825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WORKMEN'S CIRCLE HOME & INFIRMARY FOUNDATION FOR THE AGED, NEW YORK BR",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "COOPERBERG",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_title_or_position": "C.F.O.",
        "authorized_official_telephone_number": "718-379-8100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00311000",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Workmen's Circle MultiCare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eboni Diane Wooley, MSW,BSW
• Graham Wilcomb Woolf, MD
• Kelly Blake Woolf, LMSW
• Andrea Woolford, M.A., CCC-SLP, TSSLD
• Henry Thomas Workman Jr., DO
• Workmens Circle Dialysis Center Inc
• Workmens Circle Dialysis Management LLC
• Worku Zewdu MD PC
• World Pharmacy Inc
• Jenna Worms, AU.D

• Skilled Nursing Facility in Bronx, NY
• Providers in Bronx, NY by specialty
• Skilled Nursing Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.