NPIMap

Organization Active NPI

Terence Cardinal Cooke Health Care Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • New York, NY
National Provider Identifier
1124290069
Registry record updated Apr 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
License
7002345N Issued in NY
Legal business name
TERENCE CARDINAL COOKE HEALTH CARE CENTER
Practice address
1249 5TH Ave
New York, NY 10029-4413
Phone
(212) 360-3764
Fax
(212) 427-9488
NPI assigned
Apr 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2008

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

Authorized official

Name
Mrs. Annmarie C Covone
Title
Sr VP - Cfo
Phone
(646) 633-4702

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X 7002345N NY Primary

Addresses

Primary practice location

1249 5TH Ave
New York, NY 10029-4413

Mailing address

1249 5TH Ave
New York, NY 10029-4413
Phone (212) 360-3764

Other identifiers 1

IdentifierTypeStateIssuer
00355202MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1207008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208476800000",
    "number": "1124290069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1249 5TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100294413",
            "telephone_number": "212-360-3764",
            "fax_number": "212-427-9488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1249 5TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100294413",
            "telephone_number": "212-360-3764",
            "fax_number": "212-427-9488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERENCE CARDINAL COOKE HEALTH CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-01",
        "last_updated": "2008-04-18",
        "status": "A",
        "authorized_official_last_name": "COVONE",
        "authorized_official_first_name": "ANNMARIE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "SR VP - CFO",
        "authorized_official_telephone_number": "646-633-4702",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NY",
            "license": "7002345N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00355202",
            "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 Apr 18, 2008; 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.