NPIMap

Organization Active NPI

City of New York Office of Payroll Administration

Doing business as NYCDOHMH Bedford District Health Center

  • Community Health Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1609804673
Registry record updated May 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
License
7002112R5622 Issued in NY
Legal business name
CITY OF NEW YORK OFFICE OF PAYROLL ADMINISTRATION
Doing business as
NYCDOHMH Bedford District Health Center
Practice address
485 Troop Ave
Nycdohmh Bedford DHC
Brooklyn, NY 11221-1037
Phone
(212) 575-2459
Fax
(212) 919-1026
NPI assigned
Jun 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2013

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

Authorized official

Name
Maritza Giraldo
Title
Billing Director
Phone
(347) 396-6234

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X 7002112R5622 NY Primary

Addresses

Primary practice location

485 Troop Ave
Nycdohmh Bedford DHC
Brooklyn, NY 11221-1037

Mailing address

42-09 28TH Street CN-48
Long Island City, NY 11101-4132
Phone (347) 396-6234

Other identifiers 1

IdentifierTypeStateIssuer
00247609MedicaidNY

Other names 1

  • NYCDOHMH Bedford District Health Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040406001483 NY Part B Supplier - Clinic/Group Practice 9739172644 Receives reassigned benefits from 69 practitioners
15 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Staten Island, NY; New York, NY; Long Island City, NY; Jamaica, NY; Jackson Heights, NY; Brooklyn, NY; Bronx, NY

Other NPIs on the same Medicare enrollment 15

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

View all 15

National Provider Directory

National Provider Directory
Tax ID family
Rochelle Cherry46 organizations share this tax ID, including this one

Other organizations with this tax ID 45

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

View all 45

Locations

4209 28th St
#15111
Long Island City, NY 11101
Phone (347) 396-4853

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367539200000",
    "number": "1609804673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42-09 28TH STREET CN-48",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111014132",
            "telephone_number": "347-396-6234",
            "fax_number": "347-396-6366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 TROOP AVE",
            "address_2": "NYCDOHMH BEDFORD DHC",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112211037",
            "telephone_number": "212-575-2459",
            "fax_number": "212-919-1026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF NEW YORK OFFICE OF PAYROLL ADMINISTRATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-29",
        "last_updated": "2013-05-03",
        "status": "A",
        "authorized_official_last_name": "GIRALDO",
        "authorized_official_first_name": "MARITZA",
        "authorized_official_title_or_position": "BILLING DIRECTOR",
        "authorized_official_telephone_number": "347-396-6234"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "NY",
            "license": "7002112R5622",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00247609",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NYCDOHMH Bedford District Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2013; 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.