Organization Active NPI

Emma L Bowen Community Health Center

  • Case Management Agency
  • New York, NY
National Provider Identifier
1508932591
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
EMMA L BOWEN COMMUNITY HEALTH CENTER
Practice address
610 Riverside Dr
#55
New York, NY 10031-7601
Phone
(212) 694-3500
Fax
(212) 694-4998
NPI assigned
Nov 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Simon Velez, ICMNPI 1417177585
Title
Icm
Phone
(212) 694-3500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

610 Riverside Dr
#55
New York, NY 10031-7601

Mailing address

610 Riverside Dr
#55
New York, NY 10031
Phone (212) 694-3500

Other names 1

  • ummhc Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508932591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 RIVERSIDE DR",
            "address_2": "#55",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10031",
            "telephone_number": "212-694-3500",
            "fax_number": "212-694-4998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 RIVERSIDE DR",
            "address_2": "#55",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100317601",
            "telephone_number": "212-694-3500",
            "fax_number": "212-694-4998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMMA L BOWEN COMMUNITY HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VELEZ",
        "authorized_official_first_name": "SIMON",
        "authorized_official_title_or_position": "ICM",
        "authorized_official_telephone_number": "212-694-3500",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ICM"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ummhc",
            "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 Aug 22, 2020; 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.