Organization Active NPI

City of New York Department of Finance

Doing business as City of New York Office of Payroll Administration

  • Clinical Medical Laboratory
  • New York, NY
National Provider Identifier
1629024559
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
33D0679872 Issued in NY
Legal business name
CITY OF NEW YORK DEPARTMENT OF FINANCE
Doing business as
City of New York Office of Payroll Administration
NYCDOHMH Bureau of Laboratories
Practice address
455 First Avenue
Nycdohmh Bureau of Laboratories
New York, NY 10013-4006
Phone
(212) 447-2578
Fax
(212) 447-2587
NPI assigned
May 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

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

Authorized official

Name
Janet Ellis
Title
Director of Patient Billing
Phone
(347) 396-4853

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 33D0679872 NY Primary

Addresses

Primary practice location

455 First Avenue
Nycdohmh Bureau of Laboratories
New York, NY 10013-4006

Mailing address

42-09 28TH Street CN-48
Lic, NY 11101-4132
Phone (347) 396-4853

Other identifiers 1

IdentifierTypeStateIssuer
01390234MedicaidNY

Other names 3

  • CITY OF NEW YORK OFFICE OF PAYROLL ADMINISTRATION Doing business as
  • NYCDOHMH Bureau of Laboratories Doing business as
  • NYCDOHMH BUREAU OF LABORATRIES Other name

National Provider Directory

National Provider Directory

Locations

295 Flatbush Avenue Ext
Brooklyn, NY 11201
Phone (212) 566-3587

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777507200000",
    "number": "1629024559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42-09 28TH STREET CN-48",
            "city": "LIC",
            "state": "NY",
            "postal_code": "111014132",
            "telephone_number": "347-396-4853",
            "fax_number": "347-396-6367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 FIRST AVENUE",
            "address_2": "NYCDOHMH BUREAU OF LABORATORIES",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134006",
            "telephone_number": "212-447-2578",
            "fax_number": "212-447-2587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF NEW YORK DEPARTMENT OF FINANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "DIRECTOR OF PATIENT BILLING",
        "authorized_official_telephone_number": "347-396-4853"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NY",
            "license": "33D0679872",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01390234",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CITY OF NEW YORK OFFICE OF PAYROLL ADMINISTRATION",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NYCDOHMH Bureau of Laboratories",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NYCDOHMH BUREAU OF LABORATRIES",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2026; 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.