NPIMap

Organization Active NPI

Senior Health Partners Inc.

  • Health Service Clinic/Center
  • New York, NY
National Provider Identifier
1114956026
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
SENIOR HEALTH PARTNERS INC.
Practice address
4 E 107TH St
New York, NY 10029-3870
Phone
(212) 427-2600
Fax
(917) 429-1159
NPI assigned
Jul 2, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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
Ms. Gerry Polony
Title
President/Ceo
Phone
(212) 870-5077

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

4 E 107TH St
New York, NY 10029-3870

Mailing address

149 W 105TH St
New York, NY 10025-8803
Phone (212) 870-4610

Other identifiers 1

IdentifierTypeStateIssuer
02104369MedicaidNY

National Provider Directory

National Provider Directory

Locations

345 E 102nd St
Ste 200
New York, NY 10029
Phone (917) 423-6797

4 E 107th St
New York, NY 10029
Phone (212) 360-4802

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114956026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 W 105TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100258803",
            "telephone_number": "212-870-4610",
            "fax_number": "212-870-4731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 E 107TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100293870",
            "telephone_number": "212-427-2600",
            "fax_number": "917-429-1159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR HEALTH PARTNERS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "POLONY",
        "authorized_official_first_name": "GERRY",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "212-870-5077",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02104369",
            "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.