NPIMap

Organization Active NPI

Paul J. Cooper Center for Human Services, Inc.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Brooklyn, NY
National Provider Identifier
1386194124
Registry record updated Oct 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
PAUL J. COOPER CENTER FOR HUMAN SERVICES, INC.
Practice address
235 Jerome St
Brooklyn, NY 11207-3209
Phone
(718) 827-7300
NPI assigned
Oct 5, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2016

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

Authorized official

Name
Peter Campbell
Title
Billing Officer
Phone
(718) 498-5555

Specialties & licenses 1

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

Addresses

Primary practice location

235 Jerome St
Brooklyn, NY 11207-3209

Mailing address

510 Gates Ave
Brooklyn, NY 11216-1506
Phone (718) 498-5555

Other identifiers 1

IdentifierTypeStateIssuer
00926554MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Paul J Cooper Center for Human Services Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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": "1475625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475625600000",
    "number": "1386194124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 GATES AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112161506",
            "telephone_number": "718-498-5555",
            "fax_number": "718-498-6868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 JEROME ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112073209",
            "telephone_number": "718-827-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL J. COOPER CENTER FOR HUMAN SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-05",
        "last_updated": "2016-10-05",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "BILLING OFFICER",
        "authorized_official_telephone_number": "718-498-5555"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00926554",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2016; 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.