NPIMap

Organization Active NPI

Soho Community Clinic

  • VA Clinic/Center
  • New York, NY
National Provider Identifier
1174563548
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
VA Clinic/CenterTaxonomy code 261QV0200X
Legal business name
SOHO COMMUNITY CLINIC
Practice address
245 W Houston St
Room 313
New York, NY 10014-4805
Phone
(212) 337-2569
Fax
(212) 337-2537
NPI assigned
Jun 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Barbara Mayerick
Title
Director, Business Development
Phone
(202) 254-0339

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
VA Clinic/Center 261QV0200X Primary

Addresses

Primary practice location

245 W Houston St
Room 313
New York, NY 10014-4805

Mailing address

245 W Houston St
Room 313
New York, NY 10014-4805
Phone (212) 337-2569

National Provider Directory

National Provider Directory
Tax ID family
New York Vamc13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

Locations

245 W Houston St
Rm 313
New York, NY 10014
Phone (212) 337-2569

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174563548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 W HOUSTON ST",
            "address_2": "ROOM 313",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100144805",
            "telephone_number": "212-337-2569",
            "fax_number": "212-337-2537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 W HOUSTON ST",
            "address_2": "ROOM 313",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100144805",
            "telephone_number": "212-337-2569",
            "fax_number": "212-337-2537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOHO COMMUNITY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAYERICK",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "DIRECTOR, BUSINESS DEVELOPMENT",
        "authorized_official_telephone_number": "202-254-0339"
    },
    "taxonomies": [
        {
            "code": "261QV0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, VA",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 22, 2020; 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.