Organization Active NPI

Latino Muslims of New York

  • Case Manager/Care Coordinator
  • Bronx, NY
National Provider Identifier
1689201956
Registry record updated Mar 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
LATINO MUSLIMS OF NEW YORK
Practice address
655 Burke Ave Apt 5G
Bronx, NY 10467-6641
Phone
(646) 796-1694
Fax
(929) 243-3023
NPI assigned
Mar 25, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2020

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

Authorized official

Name
Tusha C Diaz
Title
General Manager
Phone
(646) 796-1694

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X Primary

Addresses

Primary practice location

655 Burke Ave Apt 5G
Bronx, NY 10467-6641

Mailing address

655 Burke Ave Apt 5G
Bronx, NY 10467-6641
Phone (646) 796-1694

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1585094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585094400000",
    "number": "1689201956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 BURKE AVE APT 5G",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104676641",
            "telephone_number": "646-796-1694",
            "fax_number": "929-243-3023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 BURKE AVE APT 5G",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104676641",
            "telephone_number": "646-796-1694",
            "fax_number": "929-243-3023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LATINO MUSLIMS OF NEW YORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-25",
        "last_updated": "2020-03-25",
        "certification_date": "2020-03-25",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "TUSHA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "646-796-1694"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.