NPIMap

Organization Active NPI

Elmcor Youth and Adult Activities, Inc

  • Social Worker
  • Corona, NY
National Provider Identifier
1194099739
Registry record updated Feb 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
ELMCOR YOUTH AND ADULT ACTIVITIES, INC
Practice address
3316 108TH St
Corona, NY 11368-1224
Phone
(718) 651-0096
Fax
(718) 457-3932
NPI assigned
Feb 29, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2012

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

Authorized official

Name
Maria Ramirez
Title
Trauma Social Worker
Phone
(718) 651-0096

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X Primary

Addresses

Primary practice location

3316 108TH St
Corona, NY 11368-1224

Mailing address

3316 108TH St
Corona, NY 11368-1224
Phone (718) 651-0096

National Provider Directory

National Provider Directory
Tax ID family
Elmcor Youth and Adult Activities2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

3316 108th St
Corona, NY 11368
Phone (718) 651-0096

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1330473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330473600000",
    "number": "1194099739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3316 108TH ST",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113681224",
            "telephone_number": "718-651-0096",
            "fax_number": "718-457-3932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3316 108TH ST",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113681224",
            "telephone_number": "718-651-0096",
            "fax_number": "718-457-3932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELMCOR YOUTH AND ADULT ACTIVITIES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-29",
        "last_updated": "2012-02-29",
        "status": "A",
        "authorized_official_last_name": "RAMIREZ",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "TRAUMA SOCIAL WORKER",
        "authorized_official_telephone_number": "718-651-0096"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2012; 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.