Active NPI
Urban Resource Institue
- Community/Behavioral Health Agency
- New York, NY
National Provider Identifier
1174731855
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- M592240
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5404360 | Other | NY | LMSW |
National Provider Directory
National Provider DirectoryNPI 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.