NPIMap

Organization Active NPI

Transitional Service for New York,Inc

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Whitestone, NY
National Provider Identifier
1336526672
Registry record updated May 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
00739762 Issued in NY
Legal business name
TRANSITIONAL SERVICE FOR NEW YORK,INC
Practice address
1016 162ND St
Whitestone, NY 11357-2124
Phone
(718) 746-6647
NPI assigned
May 6, 2015
Last updated
May 6, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Larry Grubler
Title
Ceo
Phone
(718) 746-6647

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 00739762 NY Primary

Addresses

Primary practice location

1016 162ND St
Whitestone, NY 11357-2124

Mailing address

1016 162ND St
Whitestone, NY 11357-2124
Phone (718) 746-6647

Other identifiers 1

IdentifierTypeStateIssuer
00739762MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Transitional Services for Ny9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1430870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430870400000",
    "number": "1336526672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 162ND ST",
            "city": "WHITESTONE",
            "state": "NY",
            "postal_code": "113572124",
            "telephone_number": "718-746-6647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 162ND ST",
            "city": "WHITESTONE",
            "state": "NY",
            "postal_code": "113572124",
            "telephone_number": "718-746-6647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSITIONAL SERVICE FOR NEW YORK,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-06",
        "last_updated": "2015-05-06",
        "status": "A",
        "authorized_official_last_name": "GRUBLER",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "718-746-6647"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NY",
            "license": "00739762",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00739762",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitestone, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2015; 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.