Active NPI
The Robert Mapplethorpe Residential Treatment Facility Beth Isreal Nur
- Skilled Nursing Facility
- New York, NY
National Provider Identifier
1326109745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 7002351N
- Legal business name
- THE ROBERT MAPPLETHORPE RESIDENTIAL TREATMENT FACILITY BETH ISREAL NUR
- Practice address
- 327 E 17TH
The Robert Mapplethorpe Residential Treatment Center
New York, NY 10003 - Phone
- (212) 420-5693
- Fax
- (212) 256-3595
- NPI assigned
- Dec 12, 2006
- 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
- Mr. John M Samuels, MPH LNHA
- Title
- Administrator
- Phone
- (212) 420-5693
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 7002351N | NY | Primary |
Addresses
Primary practice location
327 E 17TH
The Robert Mapplethorpe Residential Treatment Center
New York, NY 10003
Mailing address
160 Water Street
Room 2329
New York, NY 10038
Phone (212) 256-3027
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01476104 | Medicaid | NY |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Urology Physician
- New York, NY
- NPI 1891777991
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1326109745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "160 WATER STREET",
"address_2": "ROOM 2329",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10038",
"telephone_number": "212-256-3027",
"fax_number": "212-256-3595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "327 E 17TH",
"address_2": "THE ROBERT MAPPLETHORPE RESIDENTIAL TREATMENT CENTER",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10003",
"telephone_number": "212-420-5693",
"fax_number": "212-256-3595"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE ROBERT MAPPLETHORPE RESIDENTIAL TREATMENT FACILITY BETH ISREAL NUR",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-12",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SAMUELS",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "212-420-5693",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MPH LNHA"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NY",
"license": "7002351N",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01476104",
"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.