Organization Active NPI

Promed

  • Developmentally Disabled Services Day Training Agency
  • Brooklyn, NY
National Provider Identifier
1124261128
Registry record updated Apr 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
2165183 Issued in NY
Legal business name
PROMED
Practice address
1034 E 14TH St
Brooklyn, NY 11230-4302
Phone
(718) 758-9229
NPI assigned
Apr 7, 2009
Organization subpart
No

National Provider Directory

National Provider Directory
Tax ID family
Promed Personnel Services5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPPES NPI Registry

Updated by the provider on Apr 7, 2009

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

Authorized official

Name
Sally Phillips
Title
Staffing Director
Phone
(212) 719-9600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 2165183 NY Primary

Addresses

Primary practice location

1034 E 14TH St
Brooklyn, NY 11230-4302

Mailing address

18 E 41St St
New York, NY 10017-6222

NPI Registry JSON

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

{
    "created_epoch": "1239062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239062400000",
    "number": "1124261128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 E 41ST ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100176222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1034 E 14TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112304302",
            "telephone_number": "718-758-9229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMED",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-07",
        "last_updated": "2009-04-07",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "SALLY",
        "authorized_official_title_or_position": "STAFFING DIRECTOR",
        "authorized_official_telephone_number": "212-719-9600"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NY",
            "license": "2165183",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 7, 2009; 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.