Organization Active NPI

The Dennelisse Corporation

  • Case Management Agency
  • New York, NY
National Provider Identifier
1043340474
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
THE DENNELISSE CORPORATION
Practice address
250 West 57TH Street, Suite 926
New York, NY 10107-0926
Phone
(212) 265-8320
Fax
(212) 246-2547
NPI assigned
Mar 6, 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
Jaqueline Long
Title
Director of Social Services
Phone
(212) 265-8320

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

250 West 57TH Street, Suite 926
New York, NY 10107-0926

Mailing address

250 West 57TH Street, Suite 926
New York, NY 10107-0926
Phone (212) 265-8320

Other identifiers 1

IdentifierTypeStateIssuer
01449994MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Dennelisse Lhcsa3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

250 W 57th St
Ste 926
New York, NY 10107
Phone (212) 265-8320

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043340474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 WEST 57TH STREET, SUITE 926",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101070926",
            "telephone_number": "212-265-8320",
            "fax_number": "212-246-2547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 WEST 57TH STREET, SUITE 926",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101070926",
            "telephone_number": "212-265-8320",
            "fax_number": "212-246-2547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DENNELISSE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "JAQUELINE",
        "authorized_official_title_or_position": "DIRECTOR OF SOCIAL SERVICES",
        "authorized_official_telephone_number": "212-265-8320"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01449994",
            "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 Aug 22, 2020; 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.