NPIMap

Organization Active NPI

Jewish Child Care Association of New York Edenwald

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Pleasantville, NY
National Provider Identifier
1083733596
Registry record updated Aug 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
Legal business name
JEWISH CHILD CARE ASSOCIATION OF NEW YORK EDENWALD
Practice address
1075 Broadway
Pleasantville, NY 10570-2344
Phone
(917) 808-4800
Fax
(347) 842-2590
NPI assigned
Mar 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2015

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

Authorized official

Name
Steven Wolinsky
Title
C.F.O.
Phone
(917) 808-4820

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X NY Primary

Addresses

Primary practice location

1075 Broadway
Pleasantville, NY 10570-2344

Mailing address

858 East 29TH Street
Jewish Child Care Association of New York
Brooklyn, NY 11210-2927
Phone (917) 808-4800

Other identifiers 1

IdentifierTypeStateIssuer
00328056MedicaidNY

National Provider Directory

National Provider Directory

Locations

1075 Broadway
Pleasantville, NY 10570
Phone (914) 741-4516

Practitioners & affiliated clinicians

Practitioners 95

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

View all 95

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439510400000",
    "number": "1083733596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "858 EAST 29TH STREET",
            "address_2": "JEWISH CHILD CARE ASSOCIATION OF NEW YORK",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112102927",
            "telephone_number": "917-808-4800",
            "fax_number": "347-842-2590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 BROADWAY",
            "city": "PLEASANTVILLE",
            "state": "NY",
            "postal_code": "105702344",
            "telephone_number": "917-808-4800",
            "fax_number": "347-842-2590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEWISH CHILD CARE ASSOCIATION OF NEW YORK EDENWALD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2015-08-14",
        "status": "A",
        "authorized_official_last_name": "WOLINSKY",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "C.F.O.",
        "authorized_official_telephone_number": "917-808-4820"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00328056",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasantville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.