NPIMap

Organization Active NPI

Gotham Per Diem, Inc

  • Home Health Agency
  • New York, NY
National Provider Identifier
1295770956
Registry record updated Oct 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
96251001 Issued in NY
Legal business name
GOTHAM PER DIEM, INC
Practice address
90 Broad St - Suite 1201
New York, NY 10004-2837
Phone
(212) 477-3600
Fax
(212) 477-0795
NPI assigned
Jun 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2022

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

Authorized official

Name
Mr. Paul Vitale
Title
Interim Ceo
Phone
(212) 477-3600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 96251001 NY Primary

Addresses

Primary practice location

90 Broad St - Suite 1201
New York, NY 10004-2837

Mailing address

90 Broad St - Suite 1201
New York, NY 10004-2837
Phone (212) 477-3600

Other identifiers 3

IdentifierTypeStateIssuer
8499999OtherNYGHI ID #
P66400OtherNYEARLY INTERVENTION PROG #
01547731MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Gotham6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667174400000",
    "number": "1295770956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 BROAD ST - SUITE 1201",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100042837",
            "telephone_number": "212-477-3600",
            "fax_number": "212-477-0795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 BROAD ST - SUITE 1201",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100042837",
            "telephone_number": "212-477-3600",
            "fax_number": "212-477-0795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOTHAM PER DIEM, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A",
        "authorized_official_last_name": "VITALE",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "INTERIM CEO",
        "authorized_official_telephone_number": "212-477-3600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "96251001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI ID #",
            "identifier": "8499999",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EARLY INTERVENTION PROG #",
            "identifier": "P66400",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01547731",
            "state": "NY"
        }
    ],
    "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 Oct 31, 2022; 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.