New Spirit II Inc

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

License

081110890 Issued in NY

Legal business name

NEW SPIRIT II INC

Practice address

16204 South Rd
Jamaica, NY 11433-1608

Phone

(718) 291-4844

Fax

(718) 291-4511

NPI assigned

Nov 30, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Nancy Brinn, LMSW

Title

Chief Operating Officer

Phone

(718) 712-1100

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 4

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

• Pamela Fleming, CASAC

  • Addiction (Substance Use Disorder) Counselor
  • Jamaica, NY
  • NPI 1396100368
  NPD (past)
• Sonya Ford, CASAC

  • Addiction (Substance Use Disorder) Counselor
  • Jamaica, NY
  • NPI 1831569961
  NPD (past)
• Vernon G Dorfman, MD

  • Psychiatry Physician
  • Surfside, FL
  • NPI 1396861894
  NPD (past)
• Abiola Olawale Familusi, MD

  • Internal Medicine Physician
  • Blanchester, OH
  • NPI 1649351214
  NPD (past)

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481587200000",
    "number": "1083782015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11630 SUTPHIN BLVD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114341527",
            "telephone_number": "718-712-1100",
            "fax_number": "718-322-1881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16204 SOUTH RD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114331608",
            "telephone_number": "718-291-4844",
            "fax_number": "718-291-4511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW SPIRIT II INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2016-12-13",
        "status": "A",
        "authorized_official_last_name": "BRINN",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "718-712-1100",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NY",
            "license": "081110890",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "G100050030",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01778289",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Substance Use Disorder Rehabilitation Clinic/Center in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2016; 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.