NPIMap

Organization Active NPI

Fordham Tremont

  • Case Management Agency
  • Bronx, NY
National Provider Identifier
1215190822
Registry record updated Jul 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
13174012 Issued in NY
Legal business name
FORDHAM TREMONT
Practice address
2021 Grand Concourse
Fordham Tremont - Lais Program
Bronx, NY 10453-4304
Phone
(718) 960-0200
NPI assigned
Jul 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2008

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

Authorized official

Name
Miss Lydia Riveria, LMSW
Title
Director
Phone
(718) 960-0200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 13174012 NY Primary

Addresses

Primary practice location

2021 Grand Concourse
Fordham Tremont - Lais Program
Bronx, NY 10453-4304

Mailing address

2021 Grand Concourse
Fordham Tremont - Lais Program
Bronx, NY 10453-4304
Phone (718) 960-0200

Other names 1

  • Lais Program Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
St Barnabas Hosp-Opd19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215043200000",
    "number": "1215190822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 GRAND CONCOURSE",
            "address_2": "FORDHAM TREMONT - LAIS PROGRAM",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104534304",
            "telephone_number": "718-960-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 GRAND CONCOURSE",
            "address_2": "FORDHAM TREMONT - LAIS PROGRAM",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104534304",
            "telephone_number": "718-960-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORDHAM TREMONT",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-03",
        "last_updated": "2008-07-03",
        "status": "A",
        "authorized_official_last_name": "RIVERIA",
        "authorized_official_first_name": "LYDIA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "718-960-0200",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NY",
            "license": "13174012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lais Program",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Jul 3, 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.