NPIMap

Organization Active NPI

Nycdohmh Bur Matern Connect Fac

  • Community Health Clinic/Center
  • New York, NY
National Provider Identifier
1679517775
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
License
01214617026 Issued in NY
Legal business name
NYCDOHMH BUR MATERN CONNECT FAC
Practice address
2 Lafayette Street
Box 34a 18TH Floor Nycdohmh Bur Matern Connect Fac
New York, NY 10007-1322
Phone
(212) 442-1740
Fax
(212) 442-1789
NPI assigned
Jun 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Michael James Smook, MPA
Title
Administrative Manager Third Party
Phone
(212) 442-8468

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X 01214617026 NY Primary

Addresses

Primary practice location

2 Lafayette Street
Box 34a 18TH Floor Nycdohmh Bur Matern Connect Fac
New York, NY 10007-1322

Mailing address

125 Worth Street
Box 74 RM 901 Nycdohmh Division of Disease Control
New York, NY 10013-4006
Phone (212) 442-8468

Other identifiers 1

IdentifierTypeStateIssuer
0144617MedicaidNY

Other names 1

  • New York City Deparment of Health and Mental Hygienes Bureau of Matern Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Rochelle Cherry46 organizations share this tax ID, including this one

Other organizations with this tax ID 45

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

View all 45

Locations

2 Lafayette St
Frnt A
New York, NY 10007
Phone (212) 442-1740

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679517775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 WORTH STREET",
            "address_2": "BOX 74 RM 901 NYCDOHMH DIVISION OF DISEASE CONTROL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134006",
            "telephone_number": "212-442-8468",
            "fax_number": "212-442-8452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 LAFAYETTE STREET",
            "address_2": "BOX 34A 18TH FLOOR NYCDOHMH BUR MATERN CONNECT FAC",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100071322",
            "telephone_number": "212-442-1740",
            "fax_number": "212-442-1789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NYCDOHMH BUR MATERN CONNECT FAC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMOOK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "ADMINISTRATIVE MANAGER THIRD PARTY",
        "authorized_official_telephone_number": "212-442-8468",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPA"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "NY",
            "license": "01214617026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0144617",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New York City Deparment of Health and Mental Hygienes Bureau of Matern",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 2020; 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.