Active NPI
Clancy NP Adult Health PC
- Licensed Practical Nurse
- New York, NY
National Provider Identifier
1255865499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 6573601
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 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 DirectoryLocations
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.