NPIMap

Organization Active NPI

St.Vincent Services Springfield

  • Community/Behavioral Health Agency
  • Jamaica, NY
National Provider Identifier
1225284631
Registry record updated Aug 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
02958510 Issued in NY
Legal business name
ST.VINCENT SERVICES SPRINGFIELD
Practice address
16737 145TH Ave
Jamaica, NY 11434-5106
Phone
(718) 522-3700
NPI assigned
Aug 18, 2008
Last updated
Aug 18, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
ST.VINCENT SERVICES SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 18, 2008

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

Authorized official

Name
Jeffrey Benenati
Title
Managing Director of Finance
Phone
(718) 422-2204

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 02958510 NY Primary

Addresses

Primary practice location

16737 145TH Ave
Jamaica, NY 11434-5106

Mailing address

16737 145TH Ave
Jamaica, NY 11434-5106
Phone (718) 522-3700

Other identifiers 1

IdentifierTypeStateIssuer
02958510MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
St Vincent's Services14 organizations share this tax ID, including this one
Part of
St Vincent's Services

Other organizations with this tax ID 13

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

View all 13

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1219017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219017600000",
    "number": "1225284631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16737 145TH AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114345106",
            "telephone_number": "718-522-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16737 145TH AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114345106",
            "telephone_number": "718-522-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST.VINCENT SERVICES SPRINGFIELD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST.VINCENT SERVICES SERVICES",
        "enumeration_date": "2008-08-18",
        "last_updated": "2008-08-18",
        "status": "A",
        "authorized_official_last_name": "BENENATI",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "MANAGING DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "718-422-2204"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": "02958510",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02958510",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.