Active NPI
The Dennelisse Corporation
- Case Management Agency
- New York, NY
National Provider Identifier
1043340474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01449994 | Medicaid | NY |
National Provider Directory
National Provider Directory- Tax ID family
- Dennelisse Lhcsa
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Bronx, NY
- NPI 1043385214
-
- Community/Behavioral Health Agency
- Bronx, NY
- NPI 1861143521
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": []
}
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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.