NPIMap

Organization Active NPI

United Cerebral Palsy Assoc of Nys Inc.

Doing business as Cerebral Palsy of NYS

  • Clinic/Center
  • Woodside, NY
National Provider Identifier
1255496642
Registry record updated Jan 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
UNITED CEREBRAL PALSY ASSOC OF NYS INC.
Doing business as
Cerebral Palsy of NYS
Practice address
Queens Health Care Center
51-40 59TH Street
Woodside, NY 11377
Phone
(718) 639-2931
NPI assigned
Dec 26, 2006
Last updated
Jan 31, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2008

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

Authorized official

Name
Thomas Mandelkow
Title
Exec VP
Phone
(212) 947-5770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

Queens Health Care Center
51-40 59TH Street
Woodside, NY 11377

Mailing address

330 W 34TH St FL 15
New York, NY 10001-2406
Phone (212) 947-5770

Other identifiers 2

IdentifierTypeStateIssuer
008MedicaidNY
00947324MedicaidNY

Other names 1

  • Cerebral Palsy of NYS Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040420000110 NY Part B Supplier - Clinic/Group Practice 0749275584 Receives reassigned benefits from 26 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Bronx, NY; Brooklyn, NY; Long Island City, NY; Oakland Gardens, NY; Staten Island, NY

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

2432 Grand Concourse
#2
Bronx, NY 10458
Phone (917) 606-6610

3600 Jerome Ave
#1
Bronx, NY 10467
Phone (917) 606-6610

708 Lydig Ave
Bronx, NY 10462
Phone (646) 518-7584

2440 Fulton St
Brooklyn, NY 11233
Phone (718) 408-5180

4506 Avenue L
Brooklyn, NY 11234
Phone 64651875842001

921 E New York Ave
Brooklyn, NY 11203
Phone (718) 778-0485

525 Executive Blvd
Elmsford, NY 10523
Phone 64651875842001

5820 Little Neck Pkwy
Little Neck, NY 11362
Phone 64651875842001

3640 37th St
Long Island City, NY 11101
Phone (718) 215-2183

40 Rector St
Fl 15
New York, NY 10006
Phone (929) 647-4796

9812 Lockport Rd
Niagara Falls, NY 14304
Phone 7162970798132

7 Strawtown Rd
West Nyack, NY 10994
Phone (212) 866-6700

Practitioners & affiliated clinicians

Practitioners 96

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 96

NPI Registry JSON

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201737600000",
    "number": "1255496642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 W 34TH ST FL 15",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100012406",
            "telephone_number": "212-947-5770",
            "fax_number": "212-356-1348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "QUEENS HEALTH CARE CENTER",
            "address_2": "51-40 59TH STREET",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "11377",
            "telephone_number": "718-639-2931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED CEREBRAL PALSY ASSOC OF NYS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2008-01-31",
        "status": "A",
        "authorized_official_last_name": "MANDELKOW",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "EXEC VP",
        "authorized_official_telephone_number": "212-947-5770"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00947324",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cerebral Palsy of NYS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.