Active NPI
Promed
- Developmentally Disabled Services Day Training Agency
- Brooklyn, NY
National Provider Identifier
1124261128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- License
- 2165183
- 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 Services
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Early Intervention Provider Agency
- Newyork, NY
- NPI 1922249283
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Ny, NY
- NPI 1912131590
-
- Developmentally Disabled Services Day Training Agency
- Brooklyn, NY
- NPI 1295963411
-
- Case Management Agency
- Brooklyn, NY
- NPI 1346479490
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
{
"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.