Active NPI
Judith Lynn Hfa LLC
- Private Vehicle
- Bronx, NY
National Provider Identifier
1013063684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Private Vehicle
- Legal business name
- JUDITH LYNN HFA LLC
- Practice address
- 1800 Waring Ave
Bronx, NY 10469-6331 - Phone
- (718) 379-4400
- Fax
- (718) 320-2442
- NPI assigned
- Jan 26, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Mark Lieberman
- Title
- Operations Manager
- Phone
- (718) 379-4400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Private Vehicle | 347C00000X | NY | Primary |
Addresses
Primary practice location
1800 Waring Ave
Bronx, NY 10469-6331
Mailing address
1800 Waring Ave
Bronx, NY 10469-6331
Phone (718) 379-4400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02517875 | Medicaid | NY |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D2197400 | Judith Lynn Hfa LLC Dba Amber Court of Pelham | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Amber Court of Pelham Gardens
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Assisted Living Facility
- Bronx, NY
- NPI 1467722017
Locations
1800 Waring Ave
Bronx, NY 10469
Phone (718) 379-4400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169769600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1013063684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 WARING AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104696331",
"telephone_number": "718-379-4400",
"fax_number": "718-320-2442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 WARING AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104696331",
"telephone_number": "718-379-4400",
"fax_number": "718-320-2442"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JUDITH LYNN HFA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-26",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "LIEBERMAN",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "OPERATIONS MANAGER",
"authorized_official_telephone_number": "718-379-4400",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02517875",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.