Organization Active NPI

Incarnation Children'S Center

  • Pediatric Skilled Nursing Facility
  • New York, NY
National Provider Identifier
1104027952
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X
License
7002357N Issued in NY
Legal business name
INCARNATION CHILDREN'S CENTER
Practice address
142 Audubon Ave
New York, NY 10032-2102
Phone
(212) 928-2590
Fax
(212) 928-1500
NPI assigned
May 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Bruce Adler
Title
Vice President of Finance
Phone
(646) 633-4710

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Skilled Nursing Facility 3140N1450X 7002357N NY Primary

Addresses

Primary practice location

142 Audubon Ave
New York, NY 10032-2102

Mailing address

142 Audubon Ave
New York, NY 10032-2102
Phone (212) 928-2590

Other identifiers 1

IdentifierTypeStateIssuer
02072580MedicaidNY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104027952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 AUDUBON AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100322102",
            "telephone_number": "212-928-2590",
            "fax_number": "212-928-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 AUDUBON AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100322102",
            "telephone_number": "212-928-2590",
            "fax_number": "212-928-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INCARNATION CHILDREN'S CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ADLER",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "VICE PRESIDENT OF FINANCE",
        "authorized_official_telephone_number": "646-633-4710"
    },
    "taxonomies": [
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": "NY",
            "license": "7002357N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02072580",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.