NPIMap

Organization Active NPI

City of New York Office of Payroll Administration

  • Community Health Clinic/Center
  • Bronx, NY
National Provider Identifier
1467480426
Registry record updated Oct 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
License
002476181191 Issued in NY
Legal business name
CITY OF NEW YORK OFFICE OF PAYROLL ADMINISTRATION
Practice address
1826 Arthur Ave
Bronx, NY 10457-6601
Phone
(718) 466-2214
Fax
(718) 299-7418
NPI assigned
Jun 29, 2006
Last updated
Oct 4, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2012

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

Authorized official

Name
Maritza Giraldo
Title
Billing Director
Phone
(347) 396-6234

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X 002476181191 NY Primary

Addresses

Primary practice location

1826 Arthur Ave
Bronx, NY 10457-6601

Mailing address

42-09 28TH Street
Lic, NY 11101
Phone (347) 396-6234

Other identifiers 1

IdentifierTypeStateIssuer
00247618MedicaidNY

Other names 1

  • NYCDOHMH - Tremont District Health Center Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040406001483 NY Part B Supplier - Clinic/Group Practice 9739172644 Receives reassigned benefits from 69 practitioners
15 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Staten Island, NY; New York, NY; Long Island City, NY; Jamaica, NY; Jackson Heights, NY; Brooklyn, NY; Bronx, NY

Other NPIs on the same Medicare enrollment 15

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 15

National Provider Directory

National Provider Directory
Tax ID family
Nycdohmh Bed Stuy Connect CMCM46 organizations share this tax ID, including this one

Other organizations with this tax ID 45

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

View all 45

Locations

1826 Arthur Ave
Bronx, NY 10457
Phone (718) 466-8881

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349308800000",
    "number": "1467480426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42-09 28TH STREET",
            "city": "LIC",
            "state": "NY",
            "postal_code": "11101",
            "telephone_number": "347-396-6234",
            "fax_number": "347-396-6366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1826 ARTHUR AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104576601",
            "telephone_number": "718-466-2214",
            "fax_number": "718-299-7418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF NEW YORK OFFICE OF PAYROLL ADMINISTRATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-29",
        "last_updated": "2012-10-04",
        "status": "A",
        "authorized_official_last_name": "GIRALDO",
        "authorized_official_first_name": "MARITZA",
        "authorized_official_title_or_position": "BILLING DIRECTOR",
        "authorized_official_telephone_number": "347-396-6234"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "NY",
            "license": "002476181191",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00247618",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NYCDOHMH - Tremont District Health Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2012; 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.