NPIMap

Organization Active NPI

New York Foundling

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Brooklyn, NY
National Provider Identifier
1154951549
Registry record updated Jan 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
NEW YORK FOUNDLING
Practice address
163 Riverdale Ave
Brooklyn, NY 11212-5579
Phone
(718) 965-1998
NPI assigned
Jan 24, 2020
Last updated
Jan 24, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2020

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

Authorized official

Name
Jessica Mojica
Title
Billing Credentialing Manager
Phone
(917) 485-7291

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X NU Primary

Addresses

Primary practice location

163 Riverdale Ave
Brooklyn, NY 11212-5579

Mailing address

590 Avenue of Americas
10TH Floor
New York, NY 10011
Phone (917) 485-7291

Other names 1

  • Evelyn Douglin Center ICF- Riverdale Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1154951549. Details of each certification follow.

  • CCN 33H577 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 33H577

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
THE NEW YORK FOUNDLING
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Dec 1, 2016
Last certification
Jan 8, 2025
Beds
9
Ownership / control type
Private (non-profit)
Most recent change of ownership
Nov 1, 2020
Facility address
163 Riverdale Avenue
Brooklyn, NY 11212

National Provider Directory

National Provider Directory
Tax ID family
New York Foundling26 organizations share this tax ID, including this one

Other organizations with this tax ID 25

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

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1579824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579824000000",
    "number": "1154951549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 AVENUE OF AMERICAS",
            "address_2": "10TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10011",
            "telephone_number": "917-485-7291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 RIVERDALE AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112125579",
            "telephone_number": "718-965-1998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW YORK FOUNDLING",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-24",
        "last_updated": "2020-01-24",
        "certification_date": "2020-01-24",
        "status": "A",
        "authorized_official_last_name": "MOJICA",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "BILLING CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "917-485-7291"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evelyn Douglin Center ICF- Riverdale",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.