Organization Active NPI

The Robert Mapplethorpe Residential Treatment Facility Beth Isreal Nur

  • Skilled Nursing Facility
  • New York, NY
National Provider Identifier
1326109745
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
7002351N Issued in NY
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
01476104MedicaidNY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.