Active NPI
The Institute for Family Health
- Family Medicine Physician
- New York, NY
National Provider Identifier
1558634659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- THE INSTITUTE FOR FAMILY HEALTH
- Practice address
- 1879 Madison Ave
New York, NY 10035-2709 - Phone
- (212) 423-4500
- Fax
- (212) 423-4577
- NPI assigned
- Feb 21, 2012
- Last updated
- Apr 22, 2025
- Organization subpart
- Yes
- Parent organization
- THE INSTITUTE FOR FAMILY HEALTH
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Eric Gayle, MD
- Title
- President and Ceo
- Phone
- (212) 633-0800
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | |||
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
1879 Madison Ave
New York, NY 10035-2709
Mailing address
CL # 4655
PO Box 95000
Philadelphia, PA 19195-4655
Phone (845) 255-3435
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00903700 | Medicaid | NY |
Other names 1
- North General Health Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1558634659. Details of each certification follow.
Federally qualified health center certification: CCN 331014
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- NORTH GENERAL FAMILY HEALTH CENTER
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Feb 3, 2011
- Last certification
- Feb 3, 2011
- Ownership / control type
- For profit – corporation
- Facility address
- 1879 Madison Avenue
New York, NY 10035
National Provider Directory
National Provider Directory- Part of
- Todd Mangum
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329782400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1745280000000",
"number": "1558634659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CL # 4655",
"address_2": "PO BOX 95000",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191954655",
"telephone_number": "845-255-3435",
"fax_number": "845-256-1881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1879 MADISON AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100352709",
"telephone_number": "212-423-4500",
"fax_number": "212-423-4577"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE INSTITUTE FOR FAMILY HEALTH",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "THE INSTITUTE FOR FAMILY HEALTH",
"enumeration_date": "2012-02-21",
"last_updated": "2025-04-22",
"certification_date": "2025-04-22",
"status": "A",
"authorized_official_last_name": "GAYLE",
"authorized_official_first_name": "ERIC",
"authorized_official_title_or_position": "PRESIDENT AND CEO",
"authorized_official_telephone_number": "212-633-0800",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00903700",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "North General Health Center",
"code": "5",
"type": "Other Name"
}
]
}Other providers in New York, NY
- The Institute for Family Health
- The Institute for Family Health
- The Institute for Family Health
- The Institute for Family Health
- The Institute for Family Health
- The Institute for Family Health
- The Institute for Family Health
- The Institute for Family Health
- The Institute for Family Health (Amsterrdam Center)
- The Institute for Family Health
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.