Active NPI
Camba
- Case Management Agency
- Brooklyn, NY
National Provider Identifier
1659594075
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- License
- 01552134
- Legal business name
- CAMBA
- Practice address
- 19 Winthrop St
Brooklyn, NY 11225-6008 - Phone
- (718) 462-8654
- NPI assigned
- Apr 11, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Joanne Oplustil
- Title
- Executive Director
- Phone
- (718) 287-2600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | 01552134 | NY | Primary |
Addresses
Primary practice location
19 Winthrop St
Brooklyn, NY 11225-6008
Mailing address
1720 Church Ave
Brooklyn, NY 11226-2630
Phone (718) 287-2600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01552134 | Medicaid | NY |
Other names 1
- Church Avenue Merchants Block Association, Inc.
National Provider Directory
National Provider DirectoryLocations
19 Winthrop St
Brooklyn, NY 11225
Phone (718) 462-8654
1720 Church Ave
Brooklyn, NY 11226
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Social Worker
- Brooklyn, NY
- NPI 1063838993
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176249600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1434067200000",
"number": "1659594075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1720 CHURCH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112262630",
"telephone_number": "718-287-2600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 WINTHROP ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112256008",
"telephone_number": "718-462-8654"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAMBA",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-11",
"last_updated": "2015-06-12",
"status": "A",
"authorized_official_last_name": "OPLUSTIL",
"authorized_official_first_name": "JOANNE",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "718-287-2600",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "NY",
"license": "01552134",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01552134",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Church Avenue Merchants Block Association, Inc.",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.