Organization Active NPI

Choice of New Rochelle, Inc.

  • Case Management Agency
  • New Rochelle, NY
National Provider Identifier
1619161585
Registry record updated Oct 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
CHOICE OF NEW ROCHELLE, INC.
Practice address
420 North Ave
Floor 2
New Rochelle, NY 10801-4160
Phone
(914) 576-0173
NPI assigned
Sep 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2013

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

Authorized official

Name
Guy H. Fessenden, MBA
Title
Executive Director
Phone
(914) 576-0173

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

420 North Ave
Floor 2
New Rochelle, NY 10801-4160

Mailing address

420 North Ave
Floor 2
New Rochelle, NY 10801-4160
Phone (914) 576-0173

Other identifiers 1

IdentifierTypeStateIssuer
02152981MedicaidNY

National Provider Directory

National Provider Directory

Locations

420 North Ave
New Rochelle, NY 10801
Phone (914) 235-6633

420 North Ave
Ste 2
New Rochelle, NY 10801
Phone (914) 576-0173

NPI Registry JSON

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

{
    "created_epoch": "1188864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380758400000",
    "number": "1619161585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 NORTH AVE",
            "address_2": "FLOOR 2",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108014160",
            "telephone_number": "914-576-0173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 NORTH AVE",
            "address_2": "FLOOR 2",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108014160",
            "telephone_number": "914-576-0173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOICE OF NEW ROCHELLE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-04",
        "last_updated": "2013-10-03",
        "status": "A",
        "authorized_official_last_name": "FESSENDEN",
        "authorized_official_first_name": "GUY",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "914-576-0173",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02152981",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Rochelle, NY

Sources for this page

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