Organization Active NPI

Judith Lynn Hfa LLC

  • Private Vehicle
  • Bronx, NY
National Provider Identifier
1013063684
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Private VehicleTaxonomy code 347C00000X
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
02517875MedicaidNY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2197400Judith Lynn Hfa LLC Dba Amber Court of Pelham1800 Waring Ave, Bronx, NY 10469Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory
Tax ID family
Amber Court of Pelham Gardens2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

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.

Verify at the official NPI Registry.