Organization Active NPI

Academy of Medical & Public Health Services

  • Health Service Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1053789727
Registry record updated Sep 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
2014030896 Issued in NY
Legal business name
ACADEMY OF MEDICAL & PUBLIC HEALTH SERVICES
Practice address
5306 3Rd Ave
2ND Floor
Brooklyn, NY 11220-2601
Phone
(646) 543-3015
NPI assigned
Sep 11, 2015
Last updated
Sep 11, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2015

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

Authorized official

Name
Hewett Chiu
Title
Chief Executive Officer
Phone
(646) 543-3015

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 72080505 NY
Community Health Clinic/Center 261QC1500X 22679314 NY
Community Health Clinic/Center 261QC1500X 1124027750 VA
Community Health Clinic/Center 261QC1500X 22663193 NY
Health Service Clinic/Center 261QH0100X 2014030896 NY Primary

Addresses

Primary practice location

5306 3Rd Ave
2ND Floor
Brooklyn, NY 11220-2601

Mailing address

5306 3Rd Ave
2ND Floor
Brooklyn, NY 11220-2601

National Provider Directory

National Provider Directory

Locations

5306 3rd Ave
Fl 2
Brooklyn, NY 11220
Phone (646) 543-3015

NPI Registry JSON

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

{
    "created_epoch": "1441929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441929600000",
    "number": "1053789727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5306 3RD AVE",
            "address_2": "2ND FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112202601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5306 3RD AVE",
            "address_2": "2ND FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112202601",
            "telephone_number": "646-543-3015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACADEMY OF MEDICAL & PUBLIC HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-11",
        "last_updated": "2015-09-11",
        "status": "A",
        "authorized_official_last_name": "CHIU",
        "authorized_official_first_name": "HEWETT",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "646-543-3015"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NY",
            "license": "72080505",
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "NY",
            "license": "22679314",
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "VA",
            "license": "1124027750",
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "NY",
            "license": "22663193",
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NY",
            "license": "2014030896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2015; 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.