NPIMap

Organization Active NPI

Qsac, Inc

  • Mental Illness Intermediate Care Facility
  • Saint Albans, NY
National Provider Identifier
1295108736
Registry record updated Nov 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Intermediate Care FacilityTaxonomy code 310500000X
License
7276451 Issued in NY
Legal business name
QSAC, INC
Practice address
11216 200TH St
Saint Albans, NY 11412-2128
Phone
(718) 217-0285
Fax
(718) 217-9491
NPI assigned
Nov 5, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2015

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

Authorized official

Name
Gary A. Maffei, MPA
Title
Executive Director
Phone
(212) 244-5560

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Intermediate Care Facility 310500000X 7276451 NY Primary

Addresses

Primary practice location

11216 200TH St
Saint Albans, NY 11412-2128

Mailing address

253 W 35TH St
16TH Floor
New York, NY 10001-1907
Phone (212) 244-5560

National Provider Directory

National Provider Directory
Tax ID family
Qsac Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

11216 200th St
Saint Albans, NY 11412
Phone (718) 217-0285

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1446681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446681600000",
    "number": "1295108736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "253 W 35TH ST",
            "address_2": "16TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100011907",
            "telephone_number": "212-244-5560",
            "fax_number": "212-244-5561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11216 200TH ST",
            "city": "SAINT ALBANS",
            "state": "NY",
            "postal_code": "114122128",
            "telephone_number": "718-217-0285",
            "fax_number": "718-217-9491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QSAC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-05",
        "last_updated": "2015-11-05",
        "status": "A",
        "authorized_official_last_name": "MAFFEI",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "212-244-5560",
        "authorized_official_credential": "MPA"
    },
    "taxonomies": [
        {
            "code": "310500000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Mental Illness",
            "state": "NY",
            "license": "7276451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Albans, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2015; 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.