The Boaz Organization for Youth, Inc.

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

THE BOAZ ORGANIZATION FOR YOUTH, INC.

Practice address

222 Broadway FL 19
New York, NY 10038-2550

Phone

(718) 713-4535

NPI assigned

May 23, 2016

Organization subpart

No

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

Authorized official

Name

Lydia Boaz, L.M.S.W.

Title

Executive Director

Phone

(510) 230-9022

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1463961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463961600000",
    "number": "1144677832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 BROADWAY FL 19",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100382550",
            "telephone_number": "718-713-4535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 BROADWAY FL 19",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100382550",
            "telephone_number": "718-713-4535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BOAZ ORGANIZATION FOR YOUTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-23",
        "last_updated": "2016-05-23",
        "status": "A",
        "authorized_official_last_name": "BOAZ",
        "authorized_official_first_name": "LYDIA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "510-230-9022",
        "authorized_official_credential": "L.M.S.W."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2016; 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.