NPIMap

Organization Active NPI

Betances Health Center

  • Federally Qualified Health Center (FQHC)
  • New York, NY
National Provider Identifier
1609897453
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
BETANCES HEALTH CENTER
Practice address
280 Henry St.
Betances Health Center
New York, NY 10002-4816
Phone
(212) 227-8401
Fax
(212) 227-8842
NPI assigned
Jul 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Santos Rivera, DSW
Title
Ceo/Executive Director
Phone
(212) 227-8401

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NY Primary

Addresses

Primary practice location

280 Henry St.
Betances Health Center
New York, NY 10002-4816

Mailing address

280 Henry St
Betances Health Center
New York, NY 10002-4816
Phone (212) 227-8401

Other identifiers 1

IdentifierTypeStateIssuer
00243045MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20051206000864 NY Part B Supplier - Clinic/Group Practice 1658391578 Receives reassigned benefits from 26 practitioners
Practice locations: New York, NY
O20111118000136 NY Part A Provider - Federally Qualified Health Center (FQHC) 1658391578 Practice locations: New York, NY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1609897453. Details of each certification follow.

Federally qualified health center certification: CCN 331860

Legal name
BETANCES HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jun 3, 1993
Last certification
Jun 3, 1993
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Aug 10, 1973 in NY
Enrollment address
280 Henry St
New York, NY 10002-4816

National Provider Directory

National Provider Directory

Locations

280 Henry St
New York, NY 10002
Phone (212) 227-8401

Ownership & related parties

All disclosed owners & managing parties 15

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Mildred Zeno Individual Corporate DirectorBoard Member Feb 15, 2009 10%
Jessica Ramos Individual W-2 Managing Employee Jan 1, 2018
Linda Harrison Individual Corporate DirectorBoard Member Sep 17, 2013 10%
Martin J Arron Individual Corporate DirectorBoard Member Sep 15, 2010
Sandy Lou Individual Corporate Director Mar 20, 2018
Deochand Narain Individual Corporate OfficerCfo Oct 1, 2019
Patrick Perkins Individual Corporate DirectorBoard Member Feb 15, 2005 10%
Santos Rivera Individual Corporate Director Mar 20, 2018
W-2 Managing EmployeeCeo May 28, 2014
David Garza Individual Corporate DirectorBoard Member May 21, 2013 10%
Elmer Castro Individual Corporate DirectorBoard Member Feb 15, 1997
Julia Tsien Individual Corporate OfficerCeo Nov 7, 2017 100%
Daniel Ramirez Individual Operational/Managerial Control Jan 1, 2018
Arturo O'Farrill Individual Corporate DirectorBoard Member Feb 15, 2005
Brian Jones Individual Corporate DirectorBoard Member Nov 29, 2011
Rita Pabon Individual Corporate DirectorBoard Member Mar 19, 2013 10%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 28

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.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1609897453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 HENRY ST",
            "address_2": "BETANCES HEALTH CENTER",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100024816",
            "telephone_number": "212-227-8401",
            "fax_number": "212-227-8842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 HENRY ST.",
            "address_2": "BETANCES HEALTH CENTER",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100024816",
            "telephone_number": "212-227-8401",
            "fax_number": "212-227-8842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETANCES HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "SANTOS",
        "authorized_official_title_or_position": "CEO/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "212-227-8401",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DSW"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00243045",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.