Active NPI
Jewish Board of Family and Children's Services, Inc
- Intellectual Disabilities Intermediate Care Facility
- New York, NY
National Provider Identifier
1295910826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual Disabilities Intermediate Care Facility
- Legal business name
- JEWISH BOARD OF FAMILY AND CHILDREN'S SERVICES, INC
- Practice address
- 463 7TH Ave FL 18
New York, NY 10018-7604 - Phone
- (212) 582-9100
- NPI assigned
- Jan 2, 2008
- Last updated
- Jul 21, 2022
- 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
- Ms. Laura A Gray
- Title
- Assistant Controller
- Phone
- (914) 773-7458
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | NU | Primary |
Addresses
Primary practice location
463 7TH Ave FL 18
New York, NY 10018-7604
Mailing address
463 7TH Ave FL 18
New York, NY 10018-7604
Phone (212) 582-9100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00862060 | Medicaid | NY |
Other names 1
- Mishkon 1954
National Provider Directory
National Provider Directory- Tax ID family
- Crown Heights Clinic
Organizations with this tax ID in the same state 24
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
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dba The Jewish Board Suffolk ACT Team
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- NPI 1508244971
-
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- NPI 1225144983
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- Early Intervention Provider Agency
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- Emotionally Disturbed Childrens' Residential Treatment Facility
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- Community/Behavioral Health Agency
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- Emotionally Disturbed Childrens' Residential Treatment Facility
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Locations
135 W 50th St
Fl 6
New York, NY 10020
Phone (212) 632-4700
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Child & Adolescent Psychiatry Physician
- New York, NY
- NPI 1174733661
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199232000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1295910826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "463 7TH AVE FL 18",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100187604",
"telephone_number": "212-582-9100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "463 7TH AVE FL 18",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100187604",
"telephone_number": "212-582-9100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEWISH BOARD OF FAMILY AND CHILDREN'S SERVICES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-02",
"last_updated": "2022-07-21",
"certification_date": "2022-07-21",
"status": "A",
"authorized_official_last_name": "GRAY",
"authorized_official_first_name": "LAURA",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "ASSISTANT CONTROLLER",
"authorized_official_telephone_number": "914-773-7458",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "315P00000X",
"taxonomy_group": "",
"desc": "Intermediate Care Facility, Intellectual Disabilities",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00862060",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Mishkon 1954",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Mishkon 1954",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in New York, NY
- Jewish Board of Family and Children's Services
- Jewish Board of Family and Children's Services
- Jewish Board of Family and Children's Services Inc
- Jewish Board of Family and Children's Services, Inc
- Jewish Board of Family and Children's Services, Inc
- Jewish Board of Family and Children's Services, Inc
- Jewish Board of Family and Children's Services, Inc
- Jewish Board of Family and Children's Services, Inc
- Jewish Board of Family and Children's Services, Inc
- Jewish Board of Family and Children's Services, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.