Active NPI
The Jewish Board of Family and Children's Services
- Community/Behavioral Health Agency
- Staten Island, NY
National Provider Identifier
1235216722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 074049-1
- Legal business name
- THE JEWISH BOARD OF FAMILY AND CHILDREN'S SERVICES
- Practice address
- 2795 Richmond Ave
Staten Island, NY 10314-5857 - Phone
- (718) 761-9800
- Fax
- (718) 370-1142
- NPI assigned
- Nov 1, 2006
- Last updated
- Aug 22, 2020
- 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
- Mr. Alan Schoor
- Title
- Assoc. Executive Director of Admin.
- Phone
- (212) 582-9100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 074049-1 | NY | Primary |
Addresses
Primary practice location
2795 Richmond Ave
Staten Island, NY 10314-5857
Mailing address
5601 14TH Ave Apt 5E
Brooklyn, NY 11219-4606
Phone (718) 871-9262
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| W22701 | Other | NY | MAGELLIN |
| 00074049 | Medicaid | NY |
National Provider Directory
National Provider Directory- Tax ID family
- Crown Heights Clinic
Organizations with this tax ID in the same state 24
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
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-
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-
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-
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-
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-
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-
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-
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-
- Early Intervention Provider Agency
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-
- Emotionally Disturbed Childrens' Residential Treatment Facility
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-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- New York, NY
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-
- Intellectual Disabilities Intermediate Care Facility
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1235216722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5601 14TH AVE APT 5E",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112194606",
"telephone_number": "718-871-9262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2795 RICHMOND AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103145857",
"telephone_number": "718-761-9800",
"fax_number": "718-370-1142"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE JEWISH BOARD OF FAMILY AND CHILDREN'S SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-01",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SCHOOR",
"authorized_official_first_name": "ALAN",
"authorized_official_title_or_position": "ASSOC. EXECUTIVE DIRECTOR OF ADMIN.",
"authorized_official_telephone_number": "212-582-9100",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NY",
"license": "074049-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLIN",
"identifier": "W22701",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00074049",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.