NPIMap

Organization Active NPI

Nys Omh South Beach P.C.

  • Local Education Agency (LEA)
  • Brooklyn, NY
National Provider Identifier
1679933766
Registry record updated Mar 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
NYS OMH SOUTH BEACH P.C.
Practice address
8620 18TH Ave
Brooklyn
Brooklyn, NY 11214-3702
Phone
(718) 256-8818
Fax
(718) 234-2314
NPI assigned
Mar 2, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2016

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

Authorized official

Name
Dr. Alfred Kleinbaum
Title
Team Leader
Phone
(718) 256-8818

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X NY Primary

Addresses

Primary practice location

8620 18TH Ave
Brooklyn
Brooklyn, NY 11214-3702

Mailing address

777 Seaview Ave
Staten Island, NY 10305-3409
Phone (718) 667-2300

Other identifiers 1

IdentifierTypeStateIssuer
00769306MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Middletown Psychiatric Center146 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

8620 18th Ave
Brooklyn, NY 11214
Phone (718) 256-8600

NPI Registry JSON

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

{
    "created_epoch": "1456876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456963200000",
    "number": "1679933766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 SEAVIEW AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103053409",
            "telephone_number": "718-667-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8620 18TH AVE",
            "address_2": "BROOKLYN",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112143702",
            "telephone_number": "718-256-8818",
            "fax_number": "718-234-2314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NYS OMH SOUTH BEACH P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-02",
        "last_updated": "2016-03-03",
        "status": "A",
        "authorized_official_last_name": "KLEINBAUM",
        "authorized_official_first_name": "ALFRED",
        "authorized_official_title_or_position": "TEAM LEADER",
        "authorized_official_telephone_number": "718-256-8818",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00769306",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Mar 3, 2016; 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.