Community Development of Asian American

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

COMMUNITY DEVELOPMENT OF ASIAN AMERICAN

Practice address

1983 Marcus Ave Ste C106
New Hyde Park, NY 11042-2000

Phone

(646) 246-5905

Fax

(516) 407-5285

NPI assigned

Oct 2, 2024

Last updated

Oct 2, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

COMMUNITY DEVELOPMENT OF ASIAN AMERICANAs reported in NPPES

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

Authorized official

Name

Nusrath Rahman

Title

Manager

Phone

(646) 246-5905

Specialties & licenses 1

Addresses

Tax ID family

Community Development of Asian American2 organizations share this tax ID, including this one

Part of

Community Development of Asian American

Other organizations with this tax ID 1

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

• Community Development of Asian American

  • Community/Behavioral Health Agency
  • Bellerose, NY
  • NPI 1629795729
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Community Development of Asian American

  • Community/Behavioral Health Agency
  • Bellerose, NY
  • NPI 1629795729
  NPPES parent name

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

{
    "created_epoch": "1727827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727827200000",
    "number": "1366260846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1983 MARCUS AVE STE C106",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110422000",
            "telephone_number": "646-246-5905",
            "fax_number": "516-407-5285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1983 MARCUS AVE STE C106",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110422000",
            "telephone_number": "646-246-5905",
            "fax_number": "516-407-5285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY DEVELOPMENT OF ASIAN AMERICAN",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMUNITY DEVELOPMENT OF ASIAN AMERICAN",
        "enumeration_date": "2024-10-02",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A",
        "authorized_official_last_name": "RAHMAN",
        "authorized_official_first_name": "NUSRATH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "646-246-5905"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gianna Marie Coluccio, PA-C
• Keon Fabian Combie, M.D.
• Comfort Care Services Inc
• Lizelle Comfort, MD
• Frank Joseph Commisso, PA
• Heidi Como, RD
• Ederliza Galang Concepcion, MD
• Jacqueline Concepcion, AGNP-BC
• Jesse Condello
• Maria Condello, MS, CCC-SLP

• Mental Health Clinic/Center (Including Community Mental Health Center) in New Hyde Park, NY
• Providers in New Hyde Park, NY by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in New York

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