Organization Active NPI

Village Diagnostic and Treatment Center

Doing business as Village Care Health Center

  • Community Health Clinic/Center
  • New York, NY
National Provider Identifier
1457424863
Registry record updated Jun 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
License
70021B1R Issued in NY
Legal business name
VILLAGE DIAGNOSTIC AND TREATMENT CENTER
Doing business as
Village Care Health Center
Practice address
121A W 20TH St
New York, NY 10011-3601
Phone
(212) 337-9293
Fax
(212) 337-9275
NPI assigned
Nov 15, 2006
Organization subpart
Yes
Parent organization
VILLAGE CENTER FOR CAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 13, 2013

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

Authorized official

Name
Mrs. Emma Devito
Title
C.E.O.
Phone
(121) 337-5600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X 70021B1R NY Primary

Addresses

Primary practice location

121A W 20TH St
New York, NY 10011-3601

Mailing address

154 Christopher St
Suite 2D
New York, NY 10014-2840
Phone (212) 337-5816

Other identifiers 1

IdentifierTypeStateIssuer
02743557MedicaidNY

Other names 1

  • Village Care Health Center Doing business as

National Provider Directory

National Provider Directory
Part of
Village Nursing Home Inc

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371081600000",
    "number": "1457424863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 CHRISTOPHER ST",
            "address_2": "SUITE 2D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100142840",
            "telephone_number": "212-337-5816",
            "fax_number": "212-337-5839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121A W 20TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100113601",
            "telephone_number": "212-337-9293",
            "fax_number": "212-337-9275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE DIAGNOSTIC AND TREATMENT CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VILLAGE CENTER FOR CARE",
        "enumeration_date": "2006-11-15",
        "last_updated": "2013-06-13",
        "status": "A",
        "authorized_official_last_name": "DEVITO",
        "authorized_official_first_name": "EMMA",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "121-337-5600",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "NY",
            "license": "70021B1R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02743557",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Village Care Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2013; 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.