NPIMap

Organization Active NPI

Asociacion de Puertorriquenos En Marcha, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Philadelphia, PA
National Provider Identifier
1568649200
Registry record updated Jan 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
134920 Issued in PA
Legal business name
ASOCIACION DE PUERTORRIQUENOS EN MARCHA, INC.
Practice address
3263-65 N. Front Street
Philadelphia, PA 19140
Phone
(215) 426-1077
NPI assigned
Jan 24, 2008
Last updated
Jan 22, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2016

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

Authorized official

Name
Ms. Nilda Ruiz
Title
Executive Director
Phone
(267) 296-7200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 134920 PA Primary

Addresses

Primary practice location

3263-65 N. Front Street
Philadelphia, PA 19140

Mailing address

4301 Rising Sun Ave
Philadelphia, PA 19140-2719
Phone (267) 296-7200

Other identifiers 1

IdentifierTypeStateIssuer
1003114240019MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
Apm Medical Services7 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.

Locations

4301 Rising Sun Ave
Philadelphia, PA 19140
Phone (267) 296-7220

NPI Registry JSON

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

{
    "created_epoch": "1201132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453420800000",
    "number": "1568649200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 RISING SUN AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191402719",
            "telephone_number": "267-296-7200",
            "fax_number": "215-455-6501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3263-65 N. FRONT STREET",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19140",
            "telephone_number": "215-426-1077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASOCIACION DE PUERTORRIQUENOS EN MARCHA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-24",
        "last_updated": "2016-01-22",
        "status": "A",
        "authorized_official_last_name": "RUIZ",
        "authorized_official_first_name": "NILDA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "267-296-7200",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "PA",
            "license": "134920",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003114240019",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2016; 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.