Organization Active NPI

Urban Resource Institue

  • Community/Behavioral Health Agency
  • New York, NY
National Provider Identifier
1174731855
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
M592240 Issued in NY
Legal business name
URBAN RESOURCE INSTITUE
Practice address
539 W 152ND St
New York, NY 10031-1601
Phone
(212) 491-0023
NPI assigned
May 18, 2007
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
Dr. Benny Primm, M.D.
Title
Chief Executive
Phone
(718) 260-2900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X M592240 NY Primary

Addresses

Primary practice location

539 W 152ND St
New York, NY 10031-1601

Mailing address

PO Box 450
New York, NY 10031-0450
Phone (212) 491-0023

Other identifiers 1

IdentifierTypeStateIssuer
5404360OtherNYLMSW

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174731855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 450",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100310450",
            "telephone_number": "212-491-0023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "539 W 152ND ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100311601",
            "telephone_number": "212-491-0023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URBAN RESOURCE INSTITUE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PRIMM",
        "authorized_official_first_name": "BENNY",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE",
        "authorized_official_telephone_number": "718-260-2900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": "M592240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMSW",
            "identifier": "5404360",
            "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.