Active NPI
Wildcat Service Corporation
- Case Management Agency
- New York, NY
National Provider Identifier
1316762453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- WILDCAT SERVICE CORPORATION
- Practice address
- 210 E 43Rd St
New York, NY 10017-4713 - Phone
- (212) 209-6000
- NPI assigned
- Nov 21, 2024
- 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
- Carol Khoury
- Title
- Cfo
- Phone
- (212) 727-4270
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Case Management Agency | 251B00000X | Primary |
Addresses
Primary practice location
210 E 43Rd St
New York, NY 10017-4713
Mailing address
633 3Rd Ave FL 6
New York, NY 10017-6733
Phone (817) 542-1988
Other practice location 1
24 Willoughby St
Brooklyn, NY 11201-3705
Phone (718) 709-0511
National Provider Directory
National Provider DirectoryLocations
24 Willoughby St
Brooklyn, NY 11201
Phone (718) 709-0511
210 E 43rd St
New York, NY 10017
Phone (212) 209-6000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1732147200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1732147200000",
"number": "1316762453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "633 3RD AVE FL 6",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100176733",
"telephone_number": "817-542-1988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 E 43RD ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100174713",
"telephone_number": "212-209-6000"
}
],
"practiceLocations": [
{
"address_1": "24 Willoughby St",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112013705",
"country_code": "US",
"telephone_number": "718-709-0511",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "WILDCAT SERVICE CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2024-11-21",
"last_updated": "2024-11-21",
"certification_date": "2024-11-21",
"status": "A",
"authorized_official_last_name": "KHOURY",
"authorized_official_first_name": "CAROL",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "212-727-4270"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Nov 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.