Active NPI
Project Hospitality Inc.
- Adult Mental Health Clinic/Center
- Staten Island, NY
National Provider Identifier
1447664388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- License
- 8215004A
- Legal business name
- PROJECT HOSPITALITY INC.
- Practice address
- 14 Slosson Ter
Staten Island, NY 10301-2507 - Phone
- (718) 273-8409
- Fax
- (718) 273-5265
- NPI assigned
- Jun 18, 2014
- Organization subpart
- Yes
- Parent organization
- PROJECT HOSPITALITY INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Terry Troia, REVEREND
- Title
- Executive Director
- Phone
- (718) 448-1544
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | 8215004A | NY | Primary |
Addresses
Primary practice location
14 Slosson Ter
Staten Island, NY 10301-2507
Mailing address
14 Slosson Ter
Staten Island, NY 10301-2507
Phone (718) 273-8409
Other names 1
- The Wellness Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150609000529 | NY | Part B Supplier - Clinic/Group Practice | 3577884097 |
Receives reassigned benefits from 5 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Staten Island, NY |
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- Part of
- Project Hospitality Inc
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Case Management Agency
- Staten Island, NY
- NPI 1598882284
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403049600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1425427200000",
"number": "1447664388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 SLOSSON TER",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103012507",
"telephone_number": "718-273-8409",
"fax_number": "718-273-5265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 SLOSSON TER",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103012507",
"telephone_number": "718-273-8409",
"fax_number": "718-273-5265"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROJECT HOSPITALITY INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PROJECT HOSPITALITY INC.",
"enumeration_date": "2014-06-18",
"last_updated": "2015-03-04",
"status": "A",
"authorized_official_last_name": "TROIA",
"authorized_official_first_name": "TERRY",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "718-448-1544",
"authorized_official_credential": "REVEREND"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": "NY",
"license": "8215004A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "The Wellness Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2015; 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.