Organization Active NPI

Camba

  • Case Management Agency
  • Brooklyn, NY
National Provider Identifier
1659594075
Registry record updated Jun 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
01552134 Issued in NY
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

Updated by the provider on Jun 12, 2015

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
01552134MedicaidNY

Other names 1

  • Church Avenue Merchants Block Association, Inc. Former legal business name

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.