NPIMap

Organization Active NPI

Project Hospitality, Inc.

  • Case Management Agency
  • Staten Island, NY
National Provider Identifier
1598882284
Registry record updated Jun 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
PROJECT HOSPITALITY, INC.
Practice address
150C Richmond Ter
Staten Island, NY 10301-1901
Phone
(718) 420-1475
Fax
(718) 420-1487
NPI assigned
Mar 26, 2007
Last updated
Jun 16, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2015

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

Authorized official

Name
Terry Troia, M.A., D.D.
Title
Executive Director
Phone
(718) 448-1544

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary
Community/Behavioral Health Agency 251S00000X 8215004A NY
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 8215004A NY
Adult Mental Health Clinic/Center 261QM0850X 8215004A NY

Addresses

Primary practice location

150C Richmond Ter
Staten Island, NY 10301-1901

Mailing address

100 Park Ave
Staten Island, NY 10302-1440
Phone (718) 448-1544

Other identifiers 1

IdentifierTypeStateIssuer
01745555MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150609000529 NY Part B Supplier - Clinic/Group Practice 3577884097 Receives reassigned benefits from 5 practitioners
1 other NPI on this enrollment
Practice locations: Staten Island, NY

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Project Hospitality Inc2 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.

Locations

150C Richmond Ter
Staten Island, NY 10301
Phone (718) 420-1475

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 5

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": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434412800000",
    "number": "1598882284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PARK AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103021440",
            "telephone_number": "718-448-1544",
            "fax_number": "718-720-5476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150C RICHMOND TER",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103011901",
            "telephone_number": "718-420-1475",
            "fax_number": "718-420-1487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROJECT HOSPITALITY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2015-06-16",
        "status": "A",
        "authorized_official_last_name": "TROIA",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "718-448-1544",
        "authorized_official_credential": "M.A., D.D."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": "8215004A",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NY",
            "license": "8215004A",
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NY",
            "license": "8215004A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01745555",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.