United Cerebral Palsy

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

436868101 Issued in NY

Legal business name

UNITED CEREBRAL PALSY

Practice address

380 Washington Ave
Roosevelt, NY 11575-1845

Phone

(516) 378-2000

NPI assigned

Sep 17, 2013

Last updated

Sep 17, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Erica Alti

Title

Teacher

Phone

(516) 378-2000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1649606112. Details of each certification follow.

• CCN 336513 Outpatient physical therapy / speech pathology · Active · Name & address match · Details

Outpatient physical therapy / speech pathology certification: CCN 336513

Legal name

UNITED CEREBRAL PALSY TREATMENT AND REHAB CENTER

Certification status

Active

Provider type (POS)

Outpatient physical therapy / speech pathology

Participating since

Apr 6, 1978

Last certification

Feb 11, 2022

Ownership / control type

Voluntary Non-Profit Other Than Church

Facility address

380 Washington Ave
Roosevelt, NY 11575

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

{
    "created_epoch": "1379376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379376000000",
    "number": "1649606112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 WASHINGTON AVE",
            "city": "ROOSEVELT",
            "state": "NY",
            "postal_code": "115751845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 WASHINGTON AVE",
            "city": "ROOSEVELT",
            "state": "NY",
            "postal_code": "115751845",
            "telephone_number": "516-378-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED CEREBRAL PALSY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-17",
        "last_updated": "2013-09-17",
        "status": "A",
        "authorized_official_last_name": "ALTI",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "TEACHER",
        "authorized_official_telephone_number": "516-378-2000"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "436868101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marissa Tokar
• Yolvanie Turenne
• U Factor Wellness
• Ucpn
• Idaresit James Udofia, LMFT
• United Cerebral Palsy Assoc of Nassau Cty
• United Cerebral Palsy Assoc of Nassau Cty
• United Cerebral Palsy Assoc of Nassau Cty
• United Cerebral Palsy Association of Nassau County, Inc.
• United Cerebral Palsy Association of Nassau County, Inc.

• Early Intervention Provider Agency in Roosevelt, NY
• Providers in Roosevelt, NY by specialty
• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.