Active NPI
Ic Response Ny Inc
- Specialist
- Brooklyn, NY
National Provider Identifier
1245739044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- IC RESPONSE NY INC
- Practice address
- 2615 Avenue W
Brooklyn, NY 11229-5041 - Phone
- (646) 670-3093
- NPI assigned
- Feb 7, 2018
- Last updated
- Feb 7, 2018
- 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
- Innessa Conte
- Title
- President
- Phone
- (646) 670-3093
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | NU | Primary | |
| Speech-Language Pathologist | 235Z00000X | 024299-1 | NY | |
| Behavior Analyst | 103K00000X | 000468-1 | NY |
Addresses
Primary practice location
2615 Avenue W
Brooklyn, NY 11229-5041
Mailing address
2615 Avenue W
Brooklyn, NY 11229-5041
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578826251 | Medicaid | NY |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Specialist
- Brooklyn, NY
- NPI 1578826251
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517961600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1517961600000",
"number": "1245739044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2615 AVENUE W",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112295041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2615 AVENUE W",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112295041",
"telephone_number": "646-670-3093"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IC RESPONSE NY INC",
"organizational_subpart": "NO",
"enumeration_date": "2018-02-07",
"last_updated": "2018-02-07",
"status": "A",
"authorized_official_last_name": "CONTE",
"authorized_official_first_name": "INNESSA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "646-670-3093"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "024299-1",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NY",
"license": "000468-1",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1578826251",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
- Ibs Diagnostics & Physical Therapy PC
- Ishmam Ibtida, MD
- Olumide Ibukun, MD
- Ic Licensed Behavior Analysis PC
- Ic Optometry PC
- Ic Speech Language Pathology P.C.
- Icahn School of Medicine at Mount Sinai (Mt Sinai Doctors BK Multispecialty)
- Icahn School of Medicine at Mount Sinai (Mount Sinai Brooklyn Heights)
- Icahn School of Medicine at Mount Sinai (Mount Sinai Brooklyn Docs)
- Icare Medical Supply Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.