Organization Active NPI

United Cerebral Palsy Assoc of Nys Inc.

  • Clinic/Center
  • Niagara Falls, NY
National Provider Identifier
1437214830
Registry record updated Jan 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
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

Updated by the provider on Jan 31, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00947324MedicaidNY
011MedicaidNY

Other names 1

  • Cerebral Palsy of Niagara County Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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.

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.