NPIMap

Organization Active NPI

Icl Treatment Apartment Program

  • Case Management Agency
  • Brooklyn, NY
National Provider Identifier
1245488865
Registry record updated Sep 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
ICL TREATMENT APARTMENT PROGRAM
Practice address
50 Nevins St
Brooklyn, NY 11217-1004
Phone
(718) 855-4035
NPI assigned
Sep 8, 2008
Last updated
Sep 8, 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 Sep 8, 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 NU Primary

Addresses

Primary practice location

50 Nevins St
Brooklyn, NY 11217-1004

Mailing address

40 Rector St FL 11
New York, NY 10006-1705
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

50 Nevins St
Brooklyn, NY 11217
Phone (718) 834-9112

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1220832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220832000000",
    "number": "1245488865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 RECTOR ST FL 11",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100061705",
            "telephone_number": "212-385-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 NEVINS ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112171004",
            "telephone_number": "718-855-4035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICL TREATMENT APARTMENT PROGRAM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INSTITUTE FOR COMMUNITY LIVING, INC.",
        "enumeration_date": "2008-09-08",
        "last_updated": "2008-09-08",
        "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": "NU",
            "license": null,
            "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 Sep 8, 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.