New York Trauma Care

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

R0296771 Issued in NY

Legal business name

NEW YORK TRAUMA CARE

Practice address

14752 69TH Rd
Flushing, NY 11367-1732

Phone

(718) 575-0308

NPI assigned

Nov 2, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Jacob M Adler, LCSW-RNPI 1326304544

Title

Ceo

Phone

(516) 239-3303

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jacob M. Adler, LCSW

  • Clinical Social Worker
  • Flushing, NY
  • NPI 1326304544
  NPD (past) Authorized official
• Barbara F Adler, MA/CCC-SLP

  • Speech-Language Pathologist
  • Flushing, NY
  • NPI 1093968653
  NPD (past)

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

{
    "created_epoch": "1446422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446422400000",
    "number": "1679946404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14752 69TH RD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113671732",
            "telephone_number": "718-575-0308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14752 69TH RD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113671732",
            "telephone_number": "718-575-0308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW YORK TRAUMA CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-02",
        "last_updated": "2015-11-02",
        "status": "A",
        "authorized_official_last_name": "ADLER",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "516-239-3303",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW-R"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NY",
            "license": "R0296771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New York Presbyterian-Queens
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• New York Spring Acupuncture PC
• New York-Presbyterian-Queens
• Kaitlin Newlin-Wagner
• Melissa Newman, LCSW
• Newyork Presbyterian Queens
• Newyork-Presbyterian-Queens

• All providers in Flushing, NY
• Mental Health Clinic/Center (Including Community Mental Health Center) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.