Organization Active NPI

Icd International Center for the Disabled

  • Hearing and Speech Clinic/Center
  • New York, NY
National Provider Identifier
1174726616
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
License
7002212R Issued in NY
Legal business name
ICD INTERNATIONAL CENTER FOR THE DISABLED
Practice address
340 E 24TH St
New York, NY 10010-4019
Phone
(212) 585-6000
Fax
(212) 585-6262
NPI assigned
Jun 11, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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
Les Halpert, PH.D
Title
President and Ceo
Phone
(212) 585-6009

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X 7002212R NY Primary

Addresses

Primary practice location

340 E 24TH St
New York, NY 10010-4019

Mailing address

340 E 24TH St
New York, NY 10010-4019
Phone (212) 585-6000

Other identifiers 7

IdentifierTypeStateIssuer
DB5292OtherNYRAILROAD RETIREMENT BOARD
58P0081OtherNYNY PRESBY HEALTH PLAN
A31902OtherNYPERFORMAX-MULTIPLAN
UU503OtherNYVNS CHOICE
040816000080OtherNYFIDELIS CARE NY
177385OtherNYHOME FIRST
00244413MedicaidNY

National Provider Directory

National Provider Directory

Locations

340 E 24th St
New York, NY 10010
Phone (212) 585-6000

NPI Registry JSON

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174726616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 E 24TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100104019",
            "telephone_number": "212-585-6000",
            "fax_number": "212-585-6262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 E 24TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100104019",
            "telephone_number": "212-585-6000",
            "fax_number": "212-585-6262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICD INTERNATIONAL CENTER FOR THE DISABLED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HALPERT",
        "authorized_official_first_name": "LES",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "212-585-6009",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "NY",
            "license": "7002212R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD RETIREMENT BOARD",
            "identifier": "DB5292",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY PRESBY HEALTH PLAN",
            "identifier": "58P0081",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERFORMAX-MULTIPLAN",
            "identifier": "A31902",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VNS CHOICE",
            "identifier": "UU503",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS CARE NY",
            "identifier": "040816000080",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME FIRST",
            "identifier": "177385",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00244413",
            "state": "NY"
        }
    ],
    "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.