NPIMap

Organization Active NPI

Icl Act Team Central Brooklyn

  • Case Management Agency
  • Brooklyn, NY
National Provider Identifier
1205083672
Registry record updated Aug 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
7720471A Issued in NY
Legal business name
ICL ACT TEAM CENTRAL BROOKLYN
Practice address
2384 Atlantic Ave
Brooklyn, NY 11233-3402
Phone
(212) 385-3030
Fax
(212) 385-2380
NPI assigned
Aug 27, 2008
Last updated
Aug 27, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
INSTITUTE FOR COMMUNITY LIVING, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 27, 2008

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

Authorized official

Name
Mr. Dewey Howard
Title
C F O
Phone
(212) 385-3030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 7720471A NY Primary

Addresses

Primary practice location

2384 Atlantic Ave
Brooklyn, NY 11233-3402

Mailing address

2384 Atlantic Ave
Brooklyn, NY 11233-3402
Phone (212) 385-3030

Other identifiers 1

IdentifierTypeStateIssuer
01305004MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Icl Act Team Central Brooklyn35 organizations share this tax ID, including this one
Part of
Icl Act Team Central Brooklyn

Other organizations with this tax ID 34

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

View all 34

Locations

2384 Atlantic Ave
Brooklyn, NY 11233
Phone (718) 272-6025

NPI Registry JSON

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

{
    "created_epoch": "1219795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219795200000",
    "number": "1205083672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2384 ATLANTIC AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112333402",
            "telephone_number": "212-385-3030",
            "fax_number": "212-385-2380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2384 ATLANTIC AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112333402",
            "telephone_number": "212-385-3030",
            "fax_number": "212-385-2380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICL ACT TEAM CENTRAL BROOKLYN",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INSTITUTE FOR COMMUNITY LIVING, INC.",
        "enumeration_date": "2008-08-27",
        "last_updated": "2008-08-27",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "DEWEY",
        "authorized_official_title_or_position": "C F O",
        "authorized_official_telephone_number": "212-385-3030",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NY",
            "license": "7720471A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01305004",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.