NPIMap

Organization Active NPI

820 River Street

  • Community/Behavioral Health Agency
  • Jamaica, NY
National Provider Identifier
1588077655
Registry record updated Jun 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
820 RIVER STREET
Practice address
10830 Sutphin Blvd
Jamaica, NY 11435-5444
Phone
(718) 526-3803
Fax
(718) 526-3908
NPI assigned
Jun 6, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2014

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

Authorized official

Name
Ms. Elizabeth Vasquez
Title
Ofice Manager
Phone
(718) 526-3803

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NY Primary

Addresses

Primary practice location

10830 Sutphin Blvd
Jamaica, NY 11435-5444

Mailing address

10830 Sutphin Blvd
Jamaica, NY 11435-5444
Phone (718) 526-3803

Other identifiers 1

IdentifierTypeStateIssuer
01137159MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
820 River Street Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

10830 Sutphin Blvd
Jamaica, NY 11435
Phone (718) 526-3803

NPI Registry JSON

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

{
    "created_epoch": "1402012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402012800000",
    "number": "1588077655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10830 SUTPHIN BLVD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114355444",
            "telephone_number": "718-526-3803",
            "fax_number": "718-526-3908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10830 SUTPHIN BLVD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114355444",
            "telephone_number": "718-526-3803",
            "fax_number": "718-526-3908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "820 RIVER STREET",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-06",
        "last_updated": "2014-06-06",
        "status": "A",
        "authorized_official_last_name": "VASQUEZ",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OFICE MANAGER",
        "authorized_official_telephone_number": "718-526-3803",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01137159",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2014; 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.