NPIMap

Organization Active NPI

Martin Luther King Addictive Disease Services

  • Rehabilitation Hospital
  • Bronx, NY
National Provider Identifier
1083852933
Registry record updated Jan 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation HospitalTaxonomy code 283X00000X
Legal business name
MARTIN LUTHER KING ADDICTIVE DISEASE SERVICES
Practice address
321 E Tremont Ave
Bronx, NY 10457-5304
Phone
(718) 518-3700
Fax
(718) 294-6999
NPI assigned
Jan 30, 2009
Organization subpart
Yes
Parent organization
BRONX LEBANON HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 30, 2009

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

Authorized official

Name
Dr. Kamala GreeneNPI 1366629891
Title
Director
Phone
(717) 518-3700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital 283X00000X Primary

Addresses

Primary practice location

321 E Tremont Ave
Bronx, NY 10457-5304

Mailing address

321 E Tremont Ave
Bronx, NY 10457-5304
Phone (718) 518-3700

National Provider Directory

National Provider Directory
Part of
BLHC Radiologists

Locations

321 E Tremont Ave
Bronx, NY 10457
Phone (718) 518-3700

Practitioners & affiliated clinicians

Practitioners 8

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": "1233273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233273600000",
    "number": "1083852933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 E TREMONT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104575304",
            "telephone_number": "718-518-3700",
            "fax_number": "718-294-6999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 E TREMONT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104575304",
            "telephone_number": "718-518-3700",
            "fax_number": "718-294-6999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN LUTHER KING ADDICTIVE DISEASE SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BRONX LEBANON HOSPITAL",
        "enumeration_date": "2009-01-30",
        "last_updated": "2009-01-30",
        "status": "A",
        "authorized_official_last_name": "GREENE",
        "authorized_official_first_name": "KAMALA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "717-518-3700",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 30, 2009; 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.