NPIMap

Organization Active NPI

Nycdohmh-Board of Ed

  • Student Health Clinic/Center
  • New York, NY
National Provider Identifier
1013242726
Registry record updated Oct 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
License
01647043 Issued in NY
Legal business name
NYCDOHMH-BOARD OF ED
Practice address
2 Lafayette St
22ND Floor
New York, NY 10007-1307
Phone
(212) 676-2474
NPI assigned
Oct 14, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2009

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

Authorized official

Name
Ryan Elliot Carter
Title
Director, Medicaid & Medicare Reven
Phone
(212) 232-2423

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student Health Clinic/Center 261QS1000X 01647043 NY Primary

Addresses

Primary practice location

2 Lafayette St
22ND Floor
New York, NY 10007-1307

Mailing address

42 Broadway
Suite 1611
New York, NY 10004-1617
Phone (212) 232-2421

Other identifiers 1

IdentifierTypeStateIssuer
01647043MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Rochelle Cherry46 organizations share this tax ID, including this one

Other organizations with this tax ID 45

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

View all 45

Locations

2 Lafayette St
Fl 22
New York, NY 10007
Phone (212) 676-2474

NPI Registry JSON

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

{
    "created_epoch": "1255478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255478400000",
    "number": "1013242726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 BROADWAY",
            "address_2": "SUITE 1611",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100041617",
            "telephone_number": "212-232-2421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 LAFAYETTE ST",
            "address_2": "22ND FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100071307",
            "telephone_number": "212-676-2474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NYCDOHMH-BOARD OF ED",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-14",
        "last_updated": "2009-10-14",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "ELLIOT",
        "authorized_official_title_or_position": "DIRECTOR, MEDICAID & MEDICARE REVEN",
        "authorized_official_telephone_number": "212-232-2423"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "NY",
            "license": "01647043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01647043",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2009; 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.