NPIMap

Organization Active NPI

Center for Urban Community Services

  • Voluntary or Charitable Agency
  • Bronx, NY
National Provider Identifier
1053408211
Registry record updated Apr 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
License
7964475A Issued in NY
Legal business name
CENTER FOR URBAN COMMUNITY SERVICES
Practice address
1307 Southern Blvd.
Bronx, NY 10459
Phone
(718) 519-8326
Fax
(718) 881-8714
NPI assigned
Oct 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2022

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

Authorized official

Name
Doug James
Title
Chief Operating Officer
Phone
(646) 755-6448

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X 7964475A NY Primary

Addresses

Primary practice location

1307 Southern Blvd.
Bronx, NY 10459

Mailing address

198 East 121St Street
6TH Floor
New York, NY 10035
Phone (212) 801-3300

Other identifiers 2

IdentifierTypeStateIssuer
02419950MedicaidNY
02713064MedicaidNY

National Provider Directory

National Provider Directory

Locations

2212 3rd Ave
New York, NY 10035
Phone (212) 360-5610

198 E 121st St
#6
New York, NY 10035
Phone (212) 801-3300

120 Wall St
Fl 25
New York, NY 10005

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649289600000",
    "number": "1053408211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "198 EAST 121ST STREET",
            "address_2": "6TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10035",
            "telephone_number": "212-801-3300",
            "fax_number": "212-635-2191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 SOUTHERN BLVD.",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10459",
            "telephone_number": "718-519-8326",
            "fax_number": "718-881-8714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR URBAN COMMUNITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-09",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-07",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "DOUG",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "646-755-6448"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "NY",
            "license": "7964475A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02419950",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02713064",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2022; 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.