NPIMap

Organization Active NPI

Pilgrim Psychiatric Center

Doing business as Intensive Case Management

  • Psychiatric Hospital Unit
  • Hempstead, NY
National Provider Identifier
1588907455
Registry record updated Mar 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
License
146013200 Issued in NY
Legal business name
PILGRIM PSYCHIATRIC CENTER
Doing business as
Intensive Case Management
Practice address
175 Fulton Ave
Hempstead, NY 11550-3150
Phone
(516) 505-2003
NPI assigned
Mar 29, 2013
Last updated
Mar 29, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2013

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

Authorized official

Name
Galal AlzokmNPI 1033457478
Title
Intensive Case Manager
Phone
(631) 761-4154

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X 146013200 NY Primary

Addresses

Primary practice location

175 Fulton Ave
Hempstead, NY 11550-3150

Mailing address

175 Fulton Ave
Hempstead, NY 11550-3150
Phone (516) 505-2003

Other identifiers 1

IdentifierTypeStateIssuer
146013200MedicaidNY

Other names 1

  • Intensive Case Management Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Intensive Case Management2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the 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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1364515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364515200000",
    "number": "1588907455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 FULTON AVE",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115503150",
            "telephone_number": "516-505-2003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 FULTON AVE",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115503150",
            "telephone_number": "516-505-2003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PILGRIM PSYCHIATRIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-29",
        "last_updated": "2013-03-29",
        "status": "A",
        "authorized_official_last_name": "ALZOKM",
        "authorized_official_first_name": "GALAL",
        "authorized_official_title_or_position": "INTENSIVE CASE MANAGER",
        "authorized_official_telephone_number": "631-761-4154"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "NY",
            "license": "146013200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146013200",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Intensive Case Management",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hempstead, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2013; 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.