Active NPI
Preferred Care Management Services Corp
- Case Management Agency
- New York, NY
National Provider Identifier
1265199343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- PREFERRED CARE MANAGEMENT SERVICES CORP
- Practice address
- 1325 5TH Ave
New York, NY 10029-2660 - Phone
- (718) 419-1171
- NPI assigned
- Nov 23, 2021
- 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
- Michelle Gofman
- Title
- President
- Phone
- (718) 419-1171
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | Primary |
Addresses
Primary practice location
1325 5TH Ave
New York, NY 10029-2660
Mailing address
1325 5TH Ave
New York, NY 10029-2660
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | mlgofman88 | Direct |
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.
-
- Specialist
- Brooklyn, NY
- NPI 1154834497
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637625600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1637625600000",
"number": "1265199343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1325 5TH AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100292660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1325 5TH AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100292660",
"telephone_number": "718-419-1171"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREFERRED CARE MANAGEMENT SERVICES CORP",
"organizational_subpart": "NO",
"enumeration_date": "2021-11-23",
"last_updated": "2021-11-23",
"certification_date": "2021-11-23",
"status": "A",
"authorized_official_last_name": "GOFMAN",
"authorized_official_first_name": "MICHELLE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "718-419-1171"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "mlgofman88",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1325 5th Ave",
"city": "New York",
"state": "NY",
"country_code": "US",
"postal_code": "100292660",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Nov 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.