NPIMap

Organization Active NPI

Transitional Services for New York, Inc

  • Community/Behavioral Health Agency
  • Jamaica, NY
National Provider Identifier
1457418337
Registry record updated Jun 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
TRANSITIONAL SERVICES FOR NEW YORK, INC
Practice address
9027 Sutphin Blvd Ste 5
Jamaica, NY 11435-3648
Phone
(718) 526-8400
NPI assigned
Jan 2, 2007
Last updated
Jun 6, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
TRANSITIONAL SERVICES FOR NEW YORK, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 6, 2023

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

Authorized official

Name
Larry Steven Grubler, PSY.D.
Title
Chief Executive Officer
Phone
(718) 746-6647

Specialties & licenses 1

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

Addresses

Primary practice location

9027 Sutphin Blvd Ste 5
Jamaica, NY 11435-3648

Mailing address

1016 162ND St
Whitestone, NY 11357-2124
Phone (718) 746-6647

Other identifiers 1

IdentifierTypeStateIssuer
00739762MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050315000500 NY Part B Supplier - Clinic/Group Practice 7719932540 Receives reassigned benefits from 24 practitioners
Practice locations: Jamaica, NY

National Provider Directory

National Provider Directory
Tax ID family
Transitional Services for Ny9 organizations share this tax ID, including this one
Part of
Transitional Services for Ny

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

14732 Jamaica Ave
Jamaica, NY 11435
Phone (718) 206-2002

9027 Sutphin Blvd
Jamaica, NY 11435
Phone (718) 526-8400

Practitioners & affiliated clinicians

Practitioners 72

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 72

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686009600000",
    "number": "1457418337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 162ND ST",
            "city": "WHITESTONE",
            "state": "NY",
            "postal_code": "113572124",
            "telephone_number": "718-746-6647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9027 SUTPHIN BLVD STE 5",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114353648",
            "telephone_number": "718-526-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSITIONAL SERVICES FOR NEW YORK, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRANSITIONAL SERVICES FOR NEW YORK, INC",
        "enumeration_date": "2007-01-02",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A",
        "authorized_official_last_name": "GRUBLER",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "718-746-6647",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00739762",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; 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.