NPIMap

Organization Active NPI

Apicha Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Jackson Heights, NY
National Provider Identifier
1396238283
Registry record updated Jun 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
APICHA COMMUNITY HEALTH CENTER
Practice address
8211 37TH Ave FL 5
Jackson Heights, NY 11372-7001
Phone
(718) 567-5200
Fax
(212) 334-7956
NPI assigned
Jun 14, 2018
Organization subpart
Yes
Parent organization
APICHA COMMUNITY HEALTH CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 21, 2023

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

Authorized official

Name
Paulette Sherlock
Title
Director Revenue Cycle & Accounts
Phone
(646) 884-5380

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 082670 NY
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 054648 NY
Infectious Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0200X 291180 NY
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X 234421 NY
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

8211 37TH Ave FL 5
Jackson Heights, NY 11372-7001

Mailing address

400 Broadway FL 2
New York, NY 10013-3698
Phone (646) 884-5380

Other names 1

  • Asian & Pacific Islander Coalition On HIV-AIDS INC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20090430000540 NY Part B Supplier - Clinic/Group Practice 0840348843 Receives reassigned benefits from 23 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: New York, NY; Jackson Heights, NY
O20230413000634 NY Part A Provider - Federally Qualified Health Center (FQHC) 0840348843 Practice locations: Jackson Heights, NY

Federally qualified health center certification: CCN 331805

Legal name
APICHA COMMUNITY HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jan 19, 2023
Last certification
Jan 19, 2023
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Dec 29, 1992 in NY
Enrollment address
8211 37TH Ave
Jackson Heights, NY 11372-7001

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Apicha Community Health Center3 organizations share this tax ID, including this one
Part of
Apicha Community Health Center

Other organizations with this tax ID 2

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

Locations

400 Broadway
Fl 2
New York, NY 10013

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JJBGAA

Ownership & related parties

All disclosed owners & managing parties 18

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Paulette Sherlock Individual W-2 Managing EmployeeDirector Revenue Cycle & Patient Ac Nov 1, 2017
Li Hung Lin Individual Corporate DirectorVice Chair Jul 12, 2017
Jacob Chen Individual Corporate DirectorBoard Member May 12, 2022
Lydia Anne Isaac Individual Corporate DirectorBoard Member Mar 10, 2020
Gertrudes Pajaron Individual Corporate OfficerSenior Chief Development Officer Jul 15, 2003
Anthony Feliciano Individual Corporate DirectorBoard Member May 2, 2014
Nathaly Rubio-Torio Individual Corporate DirectorBoard Member Mar 10, 2020
National Health Consulting Organization, Plainview, NY Corporation, Consulting firm Operational/Managerial Control Jul 1, 2015
Andrew Rogers Individual Corporate DirectorTreasurer Mar 12, 2019
Charles King Individual Corporate DirectorBoard Member Jul 11, 2017
Yue Aka York Yu Individual Corporate DirectorBoard Member Feb 12, 2019
Mihaela Mihai Individual Corporate DirectorSenior Dir Administration & Clinic May 28, 2008
W-2 Managing EmployeeSenior Dir Administration & Clinic May 28, 2008
Maria Velazquez Individual Corporate DirectorBoard Member Aug 14, 2018
Teresita R Rodriguez Individual Corporate OfficerCeo Oct 1, 1996
James Luisi Individual Corporate DirectorDirector Jun 14, 2022
Yumiko Sano Individual Corporate OfficerSenior Chief Program Officer Apr 8, 1997
Louis Madigan Individual Corporate DirectorChair Nov 14, 2012
Ruoh Pyng Aka Flora Ferng Individual Corporate DirectorSecretary May 8, 2018

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1528934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687305600000",
    "number": "1396238283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 BROADWAY FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100133698",
            "telephone_number": "646-884-5380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8211 37TH AVE FL 5",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113727001",
            "telephone_number": "718-567-5200",
            "fax_number": "212-334-7956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APICHA COMMUNITY HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "APICHA COMMUNITY HEALTH CENTER",
        "enumeration_date": "2018-06-14",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A",
        "authorized_official_last_name": "SHERLOCK",
        "authorized_official_first_name": "PAULETTE",
        "authorized_official_title_or_position": "DIRECTOR REVENUE CYCLE &  ACCOUNTS",
        "authorized_official_telephone_number": "646-884-5380"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "082670",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "054648",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NY",
            "license": "291180",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "234421",
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Asian & Pacific Islander Coalition On HIV-AIDS INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Jackson Heights, NY

Sources for this page

Verify at the official NPI Registry.