NPIMap

Organization Active NPI

Departement of Health and Mental Hygiene

  • Community Health Clinic/Center
  • Jackson Heights, NY
National Provider Identifier
1104176395
Registry record updated Sep 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
License
545218-1 Issued in NY
Legal business name
DEPARTEMENT OF HEALTH AND MENTAL HYGIENE
Practice address
3433 Junction Blvd
Jackson Heights, NY 11372-3828
Phone
(718) 476-7636
Fax
(718) 476-7131
NPI assigned
Sep 14, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2012

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

Authorized official

Name
Mr. John Caban, RN
Title
Patient Care Manager
Phone
(718) 476-7123

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X 545218-1 NY Primary

Addresses

Primary practice location

3433 Junction Blvd
Jackson Heights, NY 11372-3828

Mailing address

3433 Junction Blvd
Jackson Heights, NY 11372-3828
Phone (718) 476-7636

National Provider Directory

National Provider Directory
Tax ID family
Rochelle Cherry46 organizations share this tax ID, including this one

Other organizations with this tax ID 45

Organizations that report the same tax identification number in the National Provider Directory.

View all 45

NPI Registry JSON

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

{
    "created_epoch": "1347580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347580800000",
    "number": "1104176395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3433 JUNCTION BLVD",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113723828",
            "telephone_number": "718-476-7636",
            "fax_number": "718-476-7131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3433 JUNCTION BLVD",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113723828",
            "telephone_number": "718-476-7636",
            "fax_number": "718-476-7131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPARTEMENT OF HEALTH AND MENTAL HYGIENE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-14",
        "last_updated": "2012-09-14",
        "status": "A",
        "authorized_official_last_name": "CABAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PATIENT CARE MANAGER",
        "authorized_official_telephone_number": "718-476-7123",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "NY",
            "license": "545218-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2012; 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.