Active NPI
United Cerebral Palsy Assoc of Nys Inc.
- Clinic/Center
- Niagara Falls, NY
National Provider Identifier
1437214830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- UNITED CEREBRAL PALSY ASSOC OF NYS INC.
- Practice address
- 9812 Lockport Rd
Cerebral Palsy of Niagara County
Niagara Falls, NY 14304 - Phone
- (716) 297-0798
- NPI assigned
- Dec 26, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Thomas Mandelkow
- Title
- Exec VP
- Phone
- (212) 947-5770
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
9812 Lockport Rd
Cerebral Palsy of Niagara County
Niagara Falls, NY 14304
Mailing address
330 W 34TH St # 15FL
New York, NY 10001-2406
Phone (212) 947-5770
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00947324 | Medicaid | NY | |
| 011 | Medicaid | NY |
Other names 1
- Cerebral Palsy of Niagara County
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040420000110 | NY | Part B Supplier - Clinic/Group Practice | 0749275584 |
Receives reassigned benefits from 26 practitioners 5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Bronx, NY; Brooklyn, NY; Long Island City, NY; Oakland Gardens, NY; Staten Island, NY |
Other NPIs on the same Medicare enrollment 5
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Clinic/Center
- Staten Island, NY
- NPI 1376600551
O20040420000110
-
- Clinic/Center
- Bronx, NY
- NPI 1366507758
O20040420000110
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167091200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1201737600000",
"number": "1437214830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 W 34TH ST # 15FL",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100012406",
"telephone_number": "212-947-5770",
"fax_number": "212-356-1348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9812 LOCKPORT RD",
"address_2": "CEREBRAL PALSY OF NIAGARA COUNTY",
"city": "NIAGARA FALLS",
"state": "NY",
"postal_code": "14304",
"telephone_number": "716-297-0798"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNITED CEREBRAL PALSY ASSOC OF NYS INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-26",
"last_updated": "2008-01-31",
"status": "A",
"authorized_official_last_name": "MANDELKOW",
"authorized_official_first_name": "THOMAS",
"authorized_official_title_or_position": "EXEC VP",
"authorized_official_telephone_number": "212-947-5770"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00947324",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "011",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Cerebral Palsy of Niagara County",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Niagara Falls, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.