Active NPI
Icd International Center for the Disabled
- Multi-Specialty Clinic/Center
- New York, NY
National Provider Identifier
1295808020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- License
- 70022112R
- Legal business name
- ICD INTERNATIONAL CENTER FOR THE DISABLED
- Practice address
- 340 E 24TH St
New York, NY 10010-4019 - Phone
- (212) 585-6000
- Fax
- (212) 585-6262
- NPI assigned
- Nov 17, 2006
- Last updated
- Aug 22, 2020
- 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
- Dr. Les Halpert, PH.D
- Title
- Ceo and President
- Phone
- (212) 585-6009
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | 70022112R | NY | Primary |
Addresses
Primary practice location
340 E 24TH St
New York, NY 10010-4019
Mailing address
340 E 24TH St
New York, NY 10010-4019
Phone (212) 585-6000
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 58P0081 | Other | NY | NY HOSPITAL CHP |
| A31902 | Other | NY | PERFORMAX-MULTIPLAN |
| DB5292 | Other | NY | RAILROAD RETIREMENT BD |
| 040816000080 | Other | NY | FIDELIS HEALTHCARE |
| 00244413 | Medicaid | NY |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1295808020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "340 E 24TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100104019",
"telephone_number": "212-585-6000",
"fax_number": "212-585-6262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "340 E 24TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100104019",
"telephone_number": "212-585-6000",
"fax_number": "212-585-6262"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ICD INTERNATIONAL CENTER FOR THE DISABLED",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-17",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HALPERT",
"authorized_official_first_name": "LES",
"authorized_official_title_or_position": "CEO AND PRESIDENT",
"authorized_official_telephone_number": "212-585-6009",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D"
},
"taxonomies": [
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": "NY",
"license": "70022112R",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NY HOSPITAL CHP",
"identifier": "58P0081",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PERFORMAX-MULTIPLAN",
"identifier": "A31902",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD RETIREMENT BD",
"identifier": "DB5292",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIDELIS HEALTHCARE",
"identifier": "040816000080",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00244413",
"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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.