Active NPI
Independence Care System, Inc.
- Case Management Agency
- Brooklyn, NY
National Provider Identifier
1316342603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- INDEPENDENCE CARE SYSTEM, INC.
- Practice address
- 136 Bushwick Ave
Brooklyn, NY 11206 - Phone
- (877) 427-2525
- Fax
- (212) 584-5555
- NPI assigned
- Oct 29, 2014
- 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
- Kerri O'Neill
- Title
- Cfo
- Phone
- (646) 831-7215
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | Primary |
Addresses
Primary practice location
136 Bushwick Ave
Brooklyn, NY 11206
Mailing address
169 Madison Ave Ste 15744
New York, NY 10016-5101
Phone (877) 427-2525
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05451574 | Medicaid | NY |
National Provider Directory
National Provider Directory- Tax ID family
- Independence Care System Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Case Management Agency
- Bronx, NY
- NPI 1306784152
-
- Adult Day Care Clinic/Center
- Brooklyn, NY
- NPI 1306786520
Locations
169 Madison Ave
Ste 15744
New York, NY 10016
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414540800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776816000000",
"number": "1316342603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "169 MADISON AVE STE 15744",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100165101",
"telephone_number": "877-427-2525",
"fax_number": "212-584-2555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "136 BUSHWICK AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11206",
"telephone_number": "877-427-2525",
"fax_number": "212-584-5555"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INDEPENDENCE CARE SYSTEM, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2014-10-29",
"last_updated": "2026-04-22",
"certification_date": "2026-04-22",
"status": "A",
"authorized_official_last_name": "O'NEILL",
"authorized_official_first_name": "KERRI",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "646-831-7215"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "05451574",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.