Organization Active NPI

Clancy NP Adult Health PC

  • Licensed Practical Nurse
  • New York, NY
National Provider Identifier
1255865499
Registry record updated Apr 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
6573601 Issued in NY
Legal business name
CLANCY NP ADULT HEALTH PC
Practice address
337 Lenox Ave
New York, NY 10027-3703
Phone
(646) 707-3930
NPI assigned
Apr 14, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2017

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

Authorized official

Name
Miss Phelan Clancy
Title
President
Phone
(516) 356-1785

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical NurseGroup: 193400000X SINGLE SPECIALTY GROUP 164W00000X 6573601 NY Primary

Addresses

Primary practice location

337 Lenox Ave
New York, NY 10027-3703

Mailing address

285 Avenue C
Apt 10C
New York, NY 10009-2301
Phone (516) 356-1785

National Provider Directory

National Provider Directory

Locations

337 Lenox Ave
New York, NY 10027
Phone (646) 707-3930

51 E 125th St
Ste 3C
New York, NY 10035
Phone (646) 585-1515

NPI Registry JSON

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

{
    "created_epoch": "1492128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492128000000",
    "number": "1255865499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 AVENUE C",
            "address_2": "APT 10C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100092301",
            "telephone_number": "516-356-1785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "337 LENOX AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100273703",
            "telephone_number": "646-707-3930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLANCY NP ADULT HEALTH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-14",
        "last_updated": "2017-04-14",
        "status": "A",
        "authorized_official_last_name": "CLANCY",
        "authorized_official_first_name": "PHELAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-356-1785",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "6573601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2017; 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.