NPIMap

Organization Active NPI

Services for the Underserved, Inc.

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Ozone Park, NY
National Provider Identifier
1619354552
Registry record updated Apr 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
7559303 Issued in NY
Legal business name
SERVICES FOR THE UNDERSERVED, INC.
Practice address
101-38 92ND Street
Ozone Park, NY 11416-2205
Phone
(917) 408-1642
Fax
(855) 370-9384
NPI assigned
Apr 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2015

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

Authorized official

Name
Lin Yang, MBA
Title
Director - Medicaid Billing
Phone
(917) 408-1642

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X 7559303 NY Primary

Addresses

Primary practice location

101-38 92ND Street
Ozone Park, NY 11416-2205

Mailing address

305 7TH Ave
10TH Floor
New York, NY 10001-6008
Phone (917) 408-1642

Other names 1

  • Services for the Underserved 92nd St ICF Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Services for the Underserved Inc13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

NPI Registry JSON

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

{
    "created_epoch": "1430265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430265600000",
    "number": "1619354552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 7TH AVE",
            "address_2": "10TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100016008",
            "telephone_number": "917-408-1642",
            "fax_number": "855-370-9384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101-38 92ND STREET",
            "city": "OZONE PARK",
            "state": "NY",
            "postal_code": "114162205",
            "telephone_number": "917-408-1642",
            "fax_number": "855-370-9384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERVICES FOR THE UNDERSERVED, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-29",
        "last_updated": "2015-04-29",
        "status": "A",
        "authorized_official_last_name": "YANG",
        "authorized_official_first_name": "LIN",
        "authorized_official_title_or_position": "DIRECTOR - MEDICAID BILLING",
        "authorized_official_telephone_number": "917-408-1642",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NY",
            "license": "7559303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Services for the Underserved 92nd St ICF",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ozone Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2015; 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.