Active NPI
Community Care Management LLC
- Case Management Agency
- New York, NY
National Provider Identifier
1518342872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- COMMUNITY CARE MANAGEMENT LLC
- Practice address
- 1250 Broadway
22ND FL.
New York, NY 10001-3701 - Phone
- (212) 465-2741
- Fax
- (212) 290-3532
- NPI assigned
- Jul 28, 2015
- Last updated
- Jul 28, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Phil Opatz, MPH
- Title
- Executive Director
- Phone
- (212) 290-6467
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | NU | Primary |
Addresses
Primary practice location
1250 Broadway
22ND FL.
New York, NY 10001-3701
Mailing address
1250 Broadway
22ND FL.
New York, NY 10001-3701
Phone (212) 465-2741
National Provider Directory
National Provider Directory- Tax ID family
- Community Care Management LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Case Management Agency
- New York, NY
- NPI 1366780850
Locations
1250 Broadway
Fl 22
New York, NY 10001
Phone (212) 609-5007
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438041600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1438041600000",
"number": "1518342872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1250 BROADWAY",
"address_2": "22ND FL.",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100013701",
"telephone_number": "212-465-2741",
"fax_number": "212-290-3532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1250 BROADWAY",
"address_2": "22ND FL.",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100013701",
"telephone_number": "212-465-2741",
"fax_number": "212-290-3532"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMMUNITY CARE MANAGEMENT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-07-28",
"last_updated": "2015-07-28",
"status": "A",
"authorized_official_last_name": "OPATZ",
"authorized_official_first_name": "PHIL",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "212-290-6467",
"authorized_official_credential": "MPH"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
- Community Access, Inc.
- Community Assistance Resources & Extended Services Inc (C.a.R.E.S.)
- Community Assistance Resources and Extended Services, Inc. (C.A.R.E.S. Article 16)
- Community Assistance Resources and Extended Services, Inc.
- Community Association of Progressive Dominicans, Inc
- Community Care Management Partners LLC (CCMP)
- Community Counseling & Mediation
- Community Counseling and Mediation
- Community Dental Associates PC
- Community Health Physical Therapy PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.