NPIMap

Organization Active NPI

Public Health Solutions

Doing business as MIC Women's Health Services - Tremont

  • Community Health Clinic/Center
  • Bronx, NY
National Provider Identifier
1194916858
Registry record updated Aug 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
License
7002296R Issued in NY
Legal business name
PUBLIC HEALTH SOLUTIONS
Doing business as
MIC Women's Health Services - Tremont
Practice address
4215 3Rd Ave
2ND Floor
Bronx, NY 10457-4501
Phone
(718) 294-5891
Fax
(718) 294-2468
NPI assigned
Aug 7, 2007
Last updated
Aug 4, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
PUBLIC HEALTH SOLUTIONSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 4, 2008

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

Authorized official

Name
Ms. Ellen Rautenberg
Title
Chief Executive Officer
Phone
(646) 619-6401

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X 7002296R NY Primary

Addresses

Primary practice location

4215 3Rd Ave
2ND Floor
Bronx, NY 10457-4501

Mailing address

220 Church St
5TH Floor
New York, NY 10013-2904
Phone (646) 619-6400

Other identifiers 1

IdentifierTypeStateIssuer
00245538MedicaidNY

Other names 1

  • MIC Women's Health Services - Tremont Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Public Health Solutions9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

NPI Registry JSON

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217808000000",
    "number": "1194916858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 CHURCH ST",
            "address_2": "5TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100132904",
            "telephone_number": "646-619-6400",
            "fax_number": "646-619-6782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4215 3RD AVE",
            "address_2": "2ND FLOOR",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104574501",
            "telephone_number": "718-294-5891",
            "fax_number": "718-294-2468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUBLIC HEALTH SOLUTIONS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PUBLIC HEALTH SOLUTIONS",
        "enumeration_date": "2007-08-07",
        "last_updated": "2008-08-04",
        "status": "A",
        "authorized_official_last_name": "RAUTENBERG",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "646-619-6401",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "NY",
            "license": "7002296R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00245538",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MIC Women's Health Services - Tremont",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2008; 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.