NPIMap

Organization Active NPI

Mercy Drive Regional

  • Community/Behavioral Health Agency
  • Forest Hills, NY
National Provider Identifier
1437697117
Registry record updated Feb 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MERCY DRIVE REGIONAL
Practice address
7235 112TH St # SST
PR-6
Forest Hills, NY 11375-5469
Phone
(718) 725-9896
NPI assigned
Feb 2, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2017

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

Authorized official

Name
Christabella Cochran
Title
Ceo
Phone
(718) 725-9896

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

7235 112TH St # SST
PR-6
Forest Hills, NY 11375-5469

Mailing address

7235 112TH St # SST
PR-6
Forest Hills, NY 11375-5469
Phone (718) 725-9896

National Provider Directory

National Provider Directory
Tax ID family
Mercy Drive Regional Corporation3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1485993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485993600000",
    "number": "1437697117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7235 112TH ST # SST",
            "address_2": "PR-6",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113755469",
            "telephone_number": "718-725-9896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7235 112TH ST # SST",
            "address_2": "PR-6",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113755469",
            "telephone_number": "718-725-9896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY DRIVE REGIONAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-02",
        "last_updated": "2017-02-02",
        "status": "A",
        "authorized_official_last_name": "COCHRAN",
        "authorized_official_first_name": "CHRISTABELLA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "718-725-9896"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2017; 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.