NPIMap

Organization Active NPI

Paul J Cooper Center for Human Services, Inc - East Icf

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Brooklyn, NY
National Provider Identifier
1508037359
Registry record updated Mar 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
PAUL J COOPER CENTER FOR HUMAN SERVICES, INC - EAST ICF
Practice address
519 Rockaway Ave
Brooklyn, NY 11212-5638
Phone
(718) 498-5555
NPI assigned
Mar 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2008

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

Authorized official

Name
Cindy Ambrose
Title
Billing Officer
Phone
(718) 498-5555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

519 Rockaway Ave
Brooklyn, NY 11212-5638

Mailing address

519 Rockaway Ave
Brooklyn, NY 11212-5638
Phone (718) 498-5555

Other identifiers 1

IdentifierTypeStateIssuer
00625672MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Paul J Cooper Center for Human Services Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1205971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205971200000",
    "number": "1508037359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 ROCKAWAY AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112125638",
            "telephone_number": "718-498-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 ROCKAWAY AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112125638",
            "telephone_number": "718-498-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL J COOPER CENTER FOR HUMAN SERVICES, INC - EAST ICF",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-20",
        "last_updated": "2008-03-20",
        "status": "A",
        "authorized_official_last_name": "AMBROSE",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "BILLING OFFICER",
        "authorized_official_telephone_number": "718-498-5555"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00625672",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 20, 2008; 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.