Active NPI
Narco Freedom Inc.
- Methadone Clinic
- Bronx, NY
National Provider Identifier
1114305406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Methadone Clinic
- License
- 084745
- Legal business name
- NARCO FREEDOM INC.
- Practice address
- 477 Willis Ave
Bronx, NY 10455-4015 - Phone
- (917) 645-0274
- NPI assigned
- May 7, 2015
- 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
- Ms. Drucilla L Williams, LMSW
- Title
- Chief Operating Officer
- Phone
- (917) 645-0274
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Methadone Clinic | 261QM2800X | 084745 | NY | Primary |
Addresses
Primary practice location
477 Willis Ave
Bronx, NY 10455-4015
Mailing address
13115 178TH PL
Jamaica, NY 11434-5861
Phone (646) 271-4523
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 084745 | Other | NY | NEW OFFICE OF PROFESSIONAL SERVICES |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430956800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1430956800000",
"number": "1114305406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13115 178TH PL",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114345861",
"telephone_number": "646-271-4523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "477 WILLIS AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104554015",
"telephone_number": "917-645-0274"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NARCO FREEDOM INC.",
"organizational_subpart": "NO",
"enumeration_date": "2015-05-07",
"last_updated": "2015-05-07",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "DRUCILLA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
"authorized_official_telephone_number": "917-645-0274",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LMSW"
},
"taxonomies": [
{
"code": "261QM2800X",
"taxonomy_group": "",
"desc": "Clinic/Center, Methadone",
"state": "NY",
"license": "084745",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEW OFFICE OF PROFESSIONAL SERVICES",
"identifier": "084745",
"state": "NY"
}
],
"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 May 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.