Organization Active NPI

Union Settlement Association Adult Daycare

Doing business as Johnson Weldon Johnson Counseling

  • Adult Care Home Facility
  • New York, NY
National Provider Identifier
1013323179
Registry record updated Jul 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
UNION SETTLEMENT ASSOCIATION ADULT DAYCARE
Doing business as
Johnson Weldon Johnson Counseling
Practice address
402 E 105TH St
New York, NY 10029-5010
Phone
(212) 828-6034
NPI assigned
Jul 9, 2014
Last updated
Jul 9, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
UNION SETTLEMENT ASSOCIATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 9, 2014

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

Authorized official

Name
Gary Edward Latimer
Title
Billing Manager
Phone
(212) 828-6034

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

402 E 105TH St
New York, NY 10029-5010

Mailing address

237 E 104TH St
New York, NY 10029-5404
Phone (212) 828-6034

Other identifiers 1

IdentifierTypeStateIssuer
00734854MedicaidNY

Other names 1

  • Johnson Weldon Johnson Counseling Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Union Settelment Association4 organizations share this tax ID, including this one
Part of
Union Settelment Association

Other organizations with this tax ID 3

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

Locations

402 E 105th St
New York, NY 10029
Phone (212) 828-6034

NPI Registry JSON

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

{
    "created_epoch": "1404864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404864000000",
    "number": "1013323179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 E 104TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100295404",
            "telephone_number": "212-828-6034",
            "fax_number": "212-828-6047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 E 105TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100295010",
            "telephone_number": "212-828-6034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNION SETTLEMENT ASSOCIATION ADULT DAYCARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNION SETTLEMENT ASSOCIATION",
        "enumeration_date": "2014-07-09",
        "last_updated": "2014-07-09",
        "status": "A",
        "authorized_official_last_name": "LATIMER",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "212-828-6034"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00734854",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Johnson Weldon Johnson Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 9, 2014; 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.