NPIMap

Organization Active NPI

Comprehensive OT, PT, SLP & Adult Health NP Services, PLLC

  • Case Manager/Care Coordinator
  • Middletown, NY
National Provider Identifier
1134827363
Registry record updated Feb 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
COMPREHENSIVE OT, PT, SLP & ADULT HEALTH NP SERVICES, PLLC
Practice address
8 Kensington Way
Middletown, NY 10940-2104
Phone
(845) 641-9413
Fax
(800) 509-6099
NPI assigned
Feb 16, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2023

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

Authorized official

Name
Bergson Louis-JacquesNPI 1184725293
Title
Ceo
Phone
(845) 641-9413

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X Primary
Case Management Agency 251B00000X
Early Intervention Provider Agency 252Y00000X

Addresses

Primary practice location

8 Kensington Way
Middletown, NY 10940-2104

Mailing address

8 Kensington Way
Middletown, NY 10940-2104
Phone (845) 641-9413

Other identifiers 1

IdentifierTypeStateIssuer
07282433MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Comprehensive OT PT SLP Adult Health NP Services PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1676505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676505600000",
    "number": "1134827363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 KENSINGTON WAY",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109402104",
            "telephone_number": "845-641-9413",
            "fax_number": "800-509-6099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 KENSINGTON WAY",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109402104",
            "telephone_number": "845-641-9413",
            "fax_number": "800-509-6099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE OT, PT, SLP & ADULT HEALTH NP SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-16",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A",
        "authorized_official_last_name": "LOUIS-JACQUES",
        "authorized_official_first_name": "BERGSON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "845-641-9413"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07282433",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; 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.