NPIMap

Organization Active NPI

Complexcare Solutions

  • Health Maintenance Organization
  • New York, NY
National Provider Identifier
1376981639
Registry record updated Jun 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
016528 Issued in NY
Legal business name
COMPLEXCARE SOLUTIONS
Practice address
75 Broad St RM 815
New York, NY 10004-3233
Phone
(134) 776-1328
Fax
(718) 732-2638
NPI assigned
Jun 10, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2013

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

Authorized official

Name
Erin O'Connor
Title
Credentialing Specialist
Phone
(347) 761-3286

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 016528 NY Primary

Addresses

Primary practice location

75 Broad St RM 815
New York, NY 10004-3233

Mailing address

75 Broad St RM 815
New York, NY 10004-3233
Phone (134) 776-1328

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1370822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370822400000",
    "number": "1376981639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 BROAD ST RM 815",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100043233",
            "telephone_number": "134-776-1328",
            "fax_number": "718-732-2638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 BROAD ST RM 815",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100043233",
            "telephone_number": "134-776-1328",
            "fax_number": "718-732-2638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLEXCARE SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-10",
        "last_updated": "2013-06-10",
        "status": "A",
        "authorized_official_last_name": "O'CONNOR",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "347-761-3286"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NY",
            "license": "016528",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 10, 2013; 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.