NPIMap

Organization Active NPI

Public Health Solutions

  • Community Health Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1467529529
Registry record updated Mar 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
License
7002296R Issued in NY
Legal business name
PUBLIC HEALTH SOLUTIONS
Practice address
295 Flatbush Avenue Ext FL 3
Brooklyn, NY 11201-3001
Phone
(718) 522-1144
Fax
(646) 619-6696
NPI assigned
Nov 30, 2006
Last updated
Mar 30, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
PUBLIC HEALTH SOLUTIONSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 30, 2023

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

Authorized official

Name
Ms. Lisa Davis
Title
President and Ceo
Phone
(646) 619-6400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X 7002296R NY Primary

Addresses

Primary practice location

295 Flatbush Avenue Ext FL 3
Brooklyn, NY 11201-3001

Mailing address

40 Worth St FL 4
New York, NY 10013-2904
Phone (646) 619-6400

Other practice location 1

1873 Eastern Pkwy
Brooklyn, NY 11233-3214
Phone (718) 498-1001

Other identifiers 3

IdentifierTypeStateIssuer
02999737MedicaidNY
02999782MedicaidNY
00245538MedicaidNY

Other names 1

  • Public Health Solutions - Fort Greene Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160229002128 NY Part B Supplier - Clinic/Group Practice 3476858424 Receives reassigned benefits from 4 practitioners
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory
Tax ID family
Public Health Solutions9 organizations share this tax ID, including this one
Part of
Public Health Solutions

Other organizations with this tax ID 8

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

Locations

40 Worth St
Fl 5
New York, NY 10013
Phone (646) 619-6400

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680134400000",
    "number": "1467529529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 WORTH ST FL 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100132904",
            "telephone_number": "646-619-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 FLATBUSH AVENUE EXT FL 3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112013001",
            "telephone_number": "718-522-1144",
            "fax_number": "646-619-6696"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1873 Eastern Pkwy",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112333214",
            "country_code": "US",
            "telephone_number": "718-498-1001",
            "fax_number": "646-619-6696",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PUBLIC HEALTH SOLUTIONS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PUBLIC HEALTH SOLUTIONS",
        "enumeration_date": "2006-11-30",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "646-619-6400",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "NY",
            "license": "7002296R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02999737",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02999782",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00245538",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Public Health Solutions - Fort Greene",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.