NPIMap

Organization Active NPI

Kennedy Children'S Center

  • Developmental Disabilities Clinic/Center
  • New York, NY
National Provider Identifier
1487721726
Registry record updated Nov 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
Legal business name
KENNEDY CHILDREN'S CENTER
Practice address
2212 3Rd Ave.
2ND FLR.
New York, NY 10035-5998
Phone
(212) 988-9500
Fax
(212) 831-3905
NPI assigned
Nov 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2018

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

Authorized official

Name
Ms. Jeanne Alter
Title
Executive Director
Phone
(212) 988-9500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X Primary

Addresses

Primary practice location

2212 3Rd Ave.
2ND FLR.
New York, NY 10035-5998

Mailing address

2212 3Rd Ave.
2ND FLR.
New York, NY 10035-5998
Phone (212) 988-9500

Other identifiers 1

IdentifierTypeStateIssuer
00244844MedicaidNY

Other names 1

  • Kennedy Child Study Center Former legal business name

National Provider Directory

National Provider Directory

Locations

2212 3rd Ave
Fl 2
New York, NY 10035
Phone (212) 988-9500

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 16

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": "1542585600000",
    "number": "1487721726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2212 3RD AVE.",
            "address_2": "2ND FLR.",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100355998",
            "telephone_number": "212-988-9500",
            "fax_number": "212-831-3905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2212 3RD AVE.",
            "address_2": "2ND FLR.",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100355998",
            "telephone_number": "212-988-9500",
            "fax_number": "212-831-3905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNEDY CHILDREN'S CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2018-11-19",
        "status": "A",
        "authorized_official_last_name": "ALTER",
        "authorized_official_first_name": "JEANNE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "212-988-9500",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00244844",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kennedy Child Study Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Nov 19, 2018; 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.