NPIMap

Organization Active NPI

Volunteers of America-Gny

  • Mental Illness Community Based Residential Treatment Facility
  • Staten Island, NY
National Provider Identifier
1346386356
Registry record updated Oct 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
VOLUNTEERS OF AMERICA-GNY
Practice address
2015 Forest Ave
Suite 2B
Staten Island, NY 10303-1736
Phone
(718) 390-5142
NPI assigned
Jan 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2008

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

Authorized official

Name
Mr. Shawn Smith
Title
Program Director
Phone
(718) 390-5142

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X NY Primary

Addresses

Primary practice location

2015 Forest Ave
Suite 2B
Staten Island, NY 10303-1736

Mailing address

2015 Forest Ave
Suite 2B
Staten Island, NY 10303-1736
Phone (718) 390-5142

Other identifiers 2

IdentifierTypeStateIssuer
02382832MedicaidNY
02752798MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Volunteers of America-Gny19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

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

View all 18

Locations

2015 Forest Ave
Ste 2B
Staten Island, NY 10303
Phone (718) 390-5142

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222905600000",
    "number": "1346386356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 FOREST AVE",
            "address_2": "SUITE 2B",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103031736",
            "telephone_number": "718-390-5142",
            "fax_number": "718-876-5431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 FOREST AVE",
            "address_2": "SUITE 2B",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103031736",
            "telephone_number": "718-390-5142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VOLUNTEERS OF AMERICA-GNY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2008-10-02",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "718-390-5142",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02382832",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02752798",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2008; 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.