Organization Active NPI

Narco Freedom Inc.

  • Methadone Clinic
  • Bronx, NY
National Provider Identifier
1114305406
Registry record updated May 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Methadone ClinicTaxonomy code 261QM2800X
License
084745 Issued in NY
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

Updated by the provider on May 7, 2015

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
084745OtherNYNEW OFFICE OF PROFESSIONAL SERVICES

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.