Organization Active NPI

Project Hospitality Inc.

  • Adult Mental Health Clinic/Center
  • Staten Island, NY
National Provider Identifier
1447664388
Registry record updated Mar 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
8215004A Issued in NY
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.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 4, 2015

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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.

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.

Verify at the official NPI Registry.