Organization Active NPI

Wildcat Service Corporation

  • Case Management Agency
  • New York, NY
National Provider Identifier
1316762453
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
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

Updated by the provider on Nov 21, 2024

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)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.