Organization Active NPI

United Cerebral Palsy

  • Developmentally Disabled Services Day Training Agency
  • New York, NY
National Provider Identifier
1043361413
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
296438-1 Issued in NY
Legal business name
UNITED CEREBRAL PALSY
Practice address
122 E 23Rd St
New York, NY 10010-4516
Phone
(212) 677-7400
NPI assigned
Jan 14, 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
Tetla Murle RoquesNPI 1215088232
Title
RN Case Manager
Phone
(212) 677-7400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 296438-1 NY Primary

Addresses

Primary practice location

122 E 23Rd St
New York, NY 10010-4516

Mailing address

3315 Hone Ave
Bronx, NY 10469-3709

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043361413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3315 HONE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104693709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 E 23RD ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100104516",
            "telephone_number": "212-677-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED CEREBRAL PALSY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROQUES",
        "authorized_official_first_name": "TETLA",
        "authorized_official_middle_name": "MURLE",
        "authorized_official_title_or_position": "RN CASE MANAGER",
        "authorized_official_telephone_number": "212-677-7400"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NY",
            "license": "296438-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "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.