NPIMap

Organization Active NPI

Bethabraham Hospital

  • Rehabilitation Hospital Unit
  • Bronx, NY
National Provider Identifier
1285948570
Registry record updated Jul 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
License
006625-1 Issued in NY
Legal business name
BETHABRAHAM HOSPITAL
Practice address
3936 Barnes Ave
Bronx, NY 10466-4313
Phone
(646) 415-1121
NPI assigned
Jul 29, 2010
Last updated
Jul 29, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2010

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

Authorized official

Name
Ms. Lorna Decarla Innis, OTA
Title
Ota/Ota
Phone
(646) 415-1121

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X 006625-1 NY
Early Intervention Provider Agency 252Y00000X 006625-1 NY
Rehabilitation Hospital Unit 273Y00000X 006625-1 NY Primary
Health Maintenance Organization 302R00000X 006625-1 NY
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 006625-1 NY

Addresses

Primary practice location

3936 Barnes Ave
Bronx, NY 10466-4313

Mailing address

3936 Barnes Ave
Bronx, NY 10466-4313
Phone (646) 415-1121

Other names 1

  • Bainbridge Nursing Home Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1280361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280361600000",
    "number": "1285948570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3936 BARNES AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104664313",
            "telephone_number": "646-415-1121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3936 BARNES AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104664313",
            "telephone_number": "646-415-1121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHABRAHAM HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-29",
        "last_updated": "2010-07-29",
        "status": "A",
        "authorized_official_last_name": "INNIS",
        "authorized_official_first_name": "LORNA",
        "authorized_official_middle_name": "DECARLA",
        "authorized_official_title_or_position": "OTA/OTA",
        "authorized_official_telephone_number": "646-415-1121",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "OTA"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NY",
            "license": "006625-1",
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "006625-1",
            "primary": false
        },
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "NY",
            "license": "006625-1",
            "primary": true
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NY",
            "license": "006625-1",
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NY",
            "license": "006625-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bainbridge Nursing Home",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2010; 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.