NPIMap

Organization Active NPI

United Cerebral Palsy Associations of New York State Inc

  • Mental Illness Intermediate Care Facility
  • Bayville, NY
National Provider Identifier
1144806290
Registry record updated Mar 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Intermediate Care FacilityTaxonomy code 310500000X
Legal business name
UNITED CEREBRAL PALSY ASSOCIATIONS OF NEW YORK STATE INC
Practice address
85 Bayville Ave
Bayville, NY 11709-1629
Phone
(516) 349-8808
NPI assigned
Mar 19, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2021

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

Authorized official

Name
Mr. Thomas Mandelkow
Title
Cfo
Phone
(212) 947-5770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Intermediate Care Facility 310500000X Primary

Addresses

Primary practice location

85 Bayville Ave
Bayville, NY 11709-1629

Mailing address

40 Rector St FL 15
New York, NY 10006-1722
Phone (212) 947-5770

Other names 1

  • Constructive Partnerships Unlimited Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Cerebral Palsy of Nys32 organizations share this tax ID, including this one

Other organizations with this tax ID 31

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

View all 31

Locations

85 Bayville Ave
Bayville, NY 11709
Phone (516) 349-8808

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": "1616112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616112000000",
    "number": "1144806290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 RECTOR ST FL 15",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100061722",
            "telephone_number": "212-947-5770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 BAYVILLE AVE",
            "city": "BAYVILLE",
            "state": "NY",
            "postal_code": "117091629",
            "telephone_number": "516-349-8808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED CEREBRAL PALSY ASSOCIATIONS OF NEW YORK STATE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-19",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A",
        "authorized_official_last_name": "MANDELKOW",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "212-947-5770",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310500000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Constructive Partnerships Unlimited",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bayville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2021; 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.