NPIMap

Organization Active NPI

Nyc Health and Hospitals Corporation

Doing business as Elmurst Hospital Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Elmhurst, NY
National Provider Identifier
1396932380
Registry record updated Apr 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
NYC HEALTH AND HOSPITALS CORPORATION
Doing business as
Elmurst Hospital Center
Practice address
Nyc Health & Hospitals/Elmhurst Act Team
78-07 41St Avenue
Elmhurst, NY 11373-1147
Phone
(212) 423-8700
Fax
(718) 334-5990
NPI assigned
Oct 3, 2007
Last updated
Apr 7, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2021

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

Authorized official

Name
Manny Lacayo
Title
Senior Associate Director
Phone
(718) 334-5597

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

Nyc Health & Hospitals/Elmhurst Act Team
78-07 41St Avenue
Elmhurst, NY 11373-1147

Mailing address

Nyc Health & Hospitals/Elmhurst
7901 Broadway D1-04
Elmhurst, NY 11373-1329
Phone (718) 334-5597

Other identifiers 1

IdentifierTypeStateIssuer
02920785MedicaidNY

Other names 1

  • Elmurst Hospital Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Jahangir S Rahman124 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

1226 31st Ave
Astoria, NY 11106
Phone (718) 334-6120

7901 Broadway
#D104
Elmhurst, NY 11373
Phone (718) 334-1921

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1191369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617753600000",
    "number": "1396932380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "NYC HEALTH & HOSPITALS/ELMHURST",
            "address_2": "7901 BROADWAY D1-04",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113731329",
            "telephone_number": "718-334-5597",
            "fax_number": "718-334-5990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NYC HEALTH & HOSPITALS/ELMHURST ACT TEAM",
            "address_2": "78-07 41ST AVENUE",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113731147",
            "telephone_number": "212-423-8700",
            "fax_number": "718-334-5990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NYC HEALTH AND HOSPITALS CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-03",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A",
        "authorized_official_last_name": "LACAYO",
        "authorized_official_first_name": "MANNY",
        "authorized_official_title_or_position": "SENIOR ASSOCIATE DIRECTOR",
        "authorized_official_telephone_number": "718-334-5597"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02920785",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elmurst Hospital Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elmhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2021; 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.