NPIMap

Organization Active NPI

Supplemental Health Care

  • Local Education Agency (LEA)
  • New York, NY
National Provider Identifier
1043562333
Registry record updated Oct 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
License
022230-1 Issued in NY
Legal business name
SUPPLEMENTAL HEALTH CARE
Practice address
708 3Rd Ave FL 5
New York, NY 10017-4201
Phone
(212) 209-3910
Fax
(855) 858-2037
NPI assigned
Oct 10, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2012

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

Authorized official

Name
Linda Indig
Title
Market Manager
Phone
(212) 209-3910

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X 022230-1 NY Primary

Addresses

Primary practice location

708 3Rd Ave FL 5
New York, NY 10017-4201

Mailing address

708 3Rd Ave FL 5
New York, NY 10017-4201
Phone (212) 209-3910

National Provider Directory

National Provider Directory
Tax ID family
Supplemental42 organizations share this tax ID, including this one

Other organizations with this tax ID 41

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

View all 41

Locations

708 3rd Ave
Fl 5
New York, NY 10017
Phone (212) 209-3910

Practitioners & affiliated clinicians

Practitioners 2

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": "1349827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349827200000",
    "number": "1043562333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 3RD AVE FL 5",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100174201",
            "telephone_number": "212-209-3910",
            "fax_number": "855-858-2037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 3RD AVE FL 5",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100174201",
            "telephone_number": "212-209-3910",
            "fax_number": "855-858-2037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPLEMENTAL HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-10",
        "last_updated": "2012-10-10",
        "status": "A",
        "authorized_official_last_name": "INDIG",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "MARKET MANAGER",
        "authorized_official_telephone_number": "212-209-3910"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NY",
            "license": "022230-1",
            "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 Oct 10, 2012; 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.