Active NPI
Ucpnyc
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Brooklyn, NY
National Provider Identifier
1114130317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- License
- 226653
- Legal business name
- UCPNYC
- Practice address
- 175 Lawrence Ave
Brooklyn, NY 11230-1102 - Phone
- (718) 436-7600
- NPI assigned
- May 7, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Esther M Fennimore
- Title
- RN
- Phone
- (718) 645-3125
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | 226653 | NY | Primary |
Addresses
Primary practice location
175 Lawrence Ave
Brooklyn, NY 11230-1102
Mailing address
161 Lake St
Brooklyn, NY 11223-2734
Phone (718) 645-3125
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 226653 | Other | NY | RN |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1203379200000",
"number": "1114130317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "161 LAKE ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112232734",
"telephone_number": "718-645-3125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 LAWRENCE AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112301102",
"telephone_number": "718-436-7600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UCPNYC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-07",
"last_updated": "2008-02-19",
"status": "A",
"authorized_official_last_name": "FENNIMORE",
"authorized_official_first_name": "ESTHER",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "RN",
"authorized_official_telephone_number": "718-645-3125",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "NY",
"license": "226653",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN",
"identifier": "226653",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.