Active NPI
Nyc Department of Health and Mental Hygiene
- Early Intervention Provider Agency
- Long Island City, NY
National Provider Identifier
1194941120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Early Intervention Provider Agency
- Legal business name
- NYC DEPARTMENT OF HEALTH AND MENTAL HYGIENE
- Practice address
- 4209 28TH St # CN-48
Long Island City, NY 11101-4130 - Phone
- (347) 396-6299
- Fax
- (347) 396-6367
- NPI assigned
- Apr 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
- Janet Ellis
- Title
- Director of Patient Billing
- Phone
- (347) 396-6299
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Local Education Agency (LEA) | 251300000X | |||
| Early Intervention Provider Agency | 252Y00000X | NY | Primary |
Addresses
Primary practice location
4209 28TH St # CN-48
Long Island City, NY 11101-4130
Mailing address
4209 28TH St # CN-48
Long Island City, NY 11101-4130
Phone (347) 396-6299
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01426888 | Medicaid | NY |
National Provider Directory
National Provider Directory- Tax ID family
- Rochelle Cherry
Other organizations with this tax ID 45
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- New York, NY
- NPI 1457674020
-
- Local Education Agency (LEA)
- Brooklyn, NY
- NPI 1104981356
-
- Community Health Clinic/Center
- Brooklyn, NY
- NPI 1023064136
-
- Pharmacy
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- NPI 1063207587
-
- Community Health Clinic/Center
- Brooklyn, NY
- NPI 1073560140
-
- State or Local Public Health Clinic/Center
- New York, NY
- NPI 1174570253
-
- Community Health Clinic/Center
- Staten Island, NY
- NPI 1366499444
-
- State or Local Public Health Clinic/Center
- New York, NY
- NPI 1447270731
-
- Community Health Clinic/Center
- Bronx, NY
- NPI 1467480426
-
- State or Local Public Health Clinic/Center
- New York, NY
- NPI 1548201882
-
- State or Local Public Health Clinic/Center
- New York, NY
- NPI 1588608681
-
- Community Health Clinic/Center
- Brooklyn, NY
- NPI 1609804673
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176854400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1695600000000",
"number": "1194941120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4209 28TH ST # CN-48",
"city": "LONG ISLAND CITY",
"state": "NY",
"postal_code": "111014130",
"telephone_number": "347-396-6299",
"fax_number": "347-396-6367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4209 28TH ST # CN-48",
"city": "LONG ISLAND CITY",
"state": "NY",
"postal_code": "111014130",
"telephone_number": "347-396-6299",
"fax_number": "347-396-6367"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NYC DEPARTMENT OF HEALTH AND MENTAL HYGIENE",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-18",
"last_updated": "2023-09-25",
"certification_date": "2023-09-25",
"status": "A",
"authorized_official_last_name": "ELLIS",
"authorized_official_first_name": "JANET",
"authorized_official_title_or_position": "DIRECTOR OF PATIENT BILLING",
"authorized_official_telephone_number": "347-396-6299"
},
"taxonomies": [
{
"code": "251300000X",
"taxonomy_group": "",
"desc": "Local Education Agency (LEA)",
"state": null,
"license": null,
"primary": false
},
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01426888",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Long Island City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.